HEALTHSTAT INC GRACE MANAGEMENT (NPI# 1083226476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083226476 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT INC GRACE MANAGEMENT |
| Practice Address |
951 South Pin Street Suite 200 Spartanburg SC 29302 |
| Mailing Address |
4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 |
| Practice Telephone | 8645159515 |
| Mailing Telephone | 7049365546 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
951 SOUTH PIN STREET SUITE 200 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| 1306973672 | Julian Williams | Internal Medicine | 319 N Pine St, Spartanburg, SC 29302 | 2007-02-27 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861938672 | Healthstat Onsite Clinic Santolube | Preventive Medicine | 2155 W Croft Cir, Spartanburg, SC 29302-3078 | 2017-01-18 |
| 1568818284 | Healthstat Onsite Clinic Sage Cotton Blossom | Preventive Medicine | 295 Broadcast Dr, Spartanburg, SC 29303-4712 | 2016-05-12 |
| 1619300316 | Healthstat On-site Clinic/milliken Whitestone | Preventive Medicine | 190 Pine Oak Ln, Hwy 295, Spartanburg, SC 29372 | 2013-08-16 |
| 1386255909 | Healthstat Inc Southeastern Paper Spartanburg | Preventive Medicine | 50 Old Blackstock Rd, Spartanburg, SC 29301-5571 | 2020-08-17 |
| 1518392497 | Healthstat On-site Clinic/milliken Rmc | Preventive Medicine | 920 Milliken Rd, Spartanburg, SC 29303-4906 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074656 | Healthstat Inc Zeus Blvd B | Preventive Medicine | 1170 Boulevard St Ste B, Orangeburg, SC 29115-4359 | 2020-08-19 |
| 1033720636 | Healthstat Inc Internet | Preventive Medicine | 1300 Altura Rd, Fort Mill, SC 29708-7055 | 2020-08-17 |
| 1285263822 | Healthstat Onsite Clinic Harsco Rail | Preventive Medicine | 2401 Edmund Hwy, West Columbia, SC 29170-1931 | 2020-04-06 |
| 1134759020 | Healthstat Onsite Clinic Riegel Aiken | Preventive Medicine | 900 Trail Ridge Rd Ste 3, Aiken, SC 29803-7765 | 2020-01-21 |
| 1598315798 | Healthstat Onsite Clinic Zeus Columbia | Preventive Medicine | 115 15th St, Gaston, SC 29053-8260 | 2019-09-19 |
| 1588163463 | Healthstat Onsite Clinic-coats Greer | Preventive Medicine | 8 Shelter Dr, Greer, SC 29650-4818 | 2018-02-07 |
| 1881104529 | Healthstat Onsite Clinic Parkdale Plant 7 | Preventive Medicine | 325 Wilcox Ave, Gaffney, SC 29341-2743 | 2017-10-09 |
| 1629588363 | Healthstat Onsite Clinic Parkdale Plant 40 | Preventive Medicine | 418 Ascauga Lake Rd, Graniteville, SC 29829-3528 | 2017-10-09 |
| 1740712389 | Healthstat Onsite Clinic Horry County | Preventive Medicine | 128 Professional Park Dr, Suite Healthstat Clinic, Conway, SC 29526-9260 | 2017-04-03 |
| 1841747672 | Healthstat Onsite Clinic Milliken Limestone | Preventive Medicine | 1206 Cherokee Ave, Gaffney, SC 29340-2600 | 2016-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.