GEORGETOWN PEDIATRIC CENTER (NPI# 1013334200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013334200 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PEDIATRIC CENTER |
| Practice Address |
57 Jessamine Ave Georgetown SC 29440-5837 |
| Mailing Address |
Po Box 618 Georgetown SC 29442-0618 |
| Practice Telephone | 8435468686 |
| Practice Fax Number | 8435461353 |
| Mailing Telephone | 8435468686 |
| Mailing Fax Number | 8435461353 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | LEE ANN AMANN (ADMINSTRATOR) |
| Authorized Official Telephone | 8435468686 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Q84256 | 05 |
| Street Address |
57 JESSAMINE AVE |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199245 | Melanie Whitman | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440 | 2006-01-23 |
| 1912382052 | Anna Newell | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2015-07-29 |
| 1316345846 | St James Santee Family Health Center Inc | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-12-16 |
| 1780093435 | Marica Green | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-08-07 |
| 1386956100 | Jennifer Anne Bailey | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2010-07-09 |
| 1760682637 | Georgetown Pediatric Center, PC | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-07-19 |
| 1699972174 | Jonathan Keith Mason | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-06-28 |
| 1366568594 | St. James-santee Family Health Center Inc. | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598818098 | Georgetown Health Group | Clinic/Center | 1530 High Market St, Georgetown, SC 29440 | 2007-01-19 |
| 1346226693 | Marshall Medical Center | Clinic/Center | 6065 State Hwy 193, Georgetown, CA 95634-9623 | 2005-12-19 |
| 1629628920 | Adams County Regional Medical Center | Clinic/Center | 900 Mount Orab Pike, Georgetown, OH 45121-8815 | 2019-09-18 |
| 1972158475 | Baptist Health Medical Group Inc | Clinic/Center | 210 Bevins Ln, Georgetown, KY 40324-6120 | 2019-08-02 |
| 1669654224 | Family Practice Medical Center Ltd | Clinic/Center | 302 N Main St, Georgetown, IL 61846-1728 | 2007-12-05 |
| 1841364007 | Georgetown Physician Associates, LLC | Clinic/Center | 1075 N Fraser St, Georgetown, SC 29440-2848 | 2006-11-20 |
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| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.