Scottie M Shelley (NPI# 1689948911, PAC ID# 9739342494) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689948911 |
| PAC ID by PECOS | 9739342494 |
| Professional Enrollment ID | I20120917000010 |
| Full Name | Scottie M Shelley |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Address |
2306 Riverbank Dr Orangeburg SC 29118-4046 |
| Phone Number | 8004910909 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800994807 |
| Number of Group Practice Members | 128 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1624 Main St, Columbia, SC 29201-2818 | 8034540365 | AGAPE SENIOR PRIMARY CARE INC |
| 2306 Riverbank Dr, Orangeburg, SC 29118-4046 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 2318 Sunset Blvd, West Columbia, SC 29169-4716 | 8034543510 | AGAPE SENIOR PRIMARY CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 5% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June Clark | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Lawrence K Bennett | Family Medicine | Agape Senior Primary Care Inc | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 |
| Charles Busse | Family Medicine | Agape Senior Primary Care Inc | 910 M Gilead Dr, Suite B 1, Murrells Inlet, SC 29576-7792 |
| Jeffrey D Hook | Internal Medicine | Agape Senior Primary Care Inc | 1614 Main St C, Columbia, SC 29201-2860 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Sophie M Fowler | Nurse Practitioner | Agape Senior Primary Care Inc | 9302 Medical Plaza Dr, Charleston, SC 29406-9142 |
| Patrick K Ryan | Family Medicine | Agape Senior Primary Care Inc | 4600 Oleander Dr C, Myrtle Beach, SC 29577-5897 |
| Erin L Miller | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Tara Madden | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Street Address |
2306 RIVERBANK DR |
| City | ORANGEBURG |
| State | SC |
| Zip | 29118-4046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence K Bennett | Family Medicine | Agape Senior Primary Care Inc | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Brandon Burshtynsky | Physical Therapy | Greenville Proaxis Therapy LLC | 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| John Oxford Hutto Sr. | Cardiovascular Disease (cardiology) | The Regional Medical Center of Orangeburg and Calhoun Counties | 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Denise A Canup | Physician Assistant | The Regional Medical Center of Orangeburg and Calhoun Counties | 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Mabelle Castro | Physical Therapy | Greenville Proaxis Therapy LLC | 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Muhammad Yunis | Internal Medicine | The Regional Medical Center of Orangeburg and Calhoun Counties | 2850 Pelham Ct, Orangeburg, SC 29118-1400 |
| Mohammed Ibrahim Alhatou | Neurology | 2850 Pelham Ct, Orangeburg, SC 29118-1400 | |
| Mahmoud M Abu-ata | Neurology | Neurology and Pain Clinic LLC | 2850 Pelham Ct, Orangeburg, SC 29118-1400 |
| Silvano L Rodrigues Torres | Nephrology | South Carolina Nephrology and Hypertension | 3709 Magnolia St, Orangeburg, SC 29118-1403 |
| Karl Armistead Illig | Vascular Surgery | The Regional Medical Center of Orangeburg and Calhoun Counties | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| John Fant | Pathology | 3000 St Matthews Rd, Dept of Pathology, Orangeburg, SC 29118-1442 | |
| Find all physicians in zip 29118 | |||
| City | ORANGEBURG |
| Zip Code | 29118 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ORANGEBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Scottie M Shelley.
| 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.