Amanda Lewis Calhoun (NPI# 1629317045, PAC ID# 8022256981) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629317045 |
| PAC ID by PECOS | 8022256981 |
| Professional Enrollment ID | I20130604000805 |
| Full Name | Amanda Lewis Calhoun |
| Organization Legal Name | SOUTHERN SURGICAL GROUP LLC |
| Address |
3600 Sea Mountain Hwy Little River SC 29566-8161 |
| Phone Number | 8433999095 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355576109 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420105 | MCLEOD LORIS SEACOAST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3600 Sea Mountain Hwy, Little River, SC 29566-8161 | 8433999095 | SOUTHERN SURGICAL GROUP LLC |
| 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 8433999095 | SOUTHERN SURGICAL GROUP LLC |
| Organization Legal Name | SOUTHERN SURGICAL GROUP LLC |
| Physicians | 1 |
| Street Address |
3600 SEA MOUNTAIN HWY |
| City | LITTLE RIVER |
| State | SC |
| Zip | 29566-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal D Shore | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Robert M Jansen | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Chris Boggs | Family Medicine | Waterway Primary Care LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Michelle Wirt | Physician Assistant | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Carl J Szczesniak | Pathology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Kenneth E Krzyzaniak | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Leslie B Oleszkowicz | Nurse Practitioner | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Eston Ernest Williams | Family Practice | Waterway Primary Care LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry J Kopelman | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| David Laif Haught | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| Carla N Antolak | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Genevieve Badaoui | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Denise Charnea Lovorn | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Jennifer Elayne Bruer-vandeweert | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Garrett Fitzgibbons | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| William J Earley | Family Practice | Elite Pain Management LLC | 4237 River Hills Dr, Little River, SC 29566-6444 |
| Matthew Davis | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| Heather Vincent | Physician Assistant | Waterway Primary Care LLC | 4237 River Hills Dr, Suite 150, Little River, SC 29566-6446 |
| Find all physicians in zip 29566 | |||
| City | LITTLE RIVER |
| Zip Code | 29566 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LITTLE RIVER + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.