SC REGIONAL HEALTH SYSTEM LLC (NPI# 1245594571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245594571 |
| Entity Type | Organization |
| Organization Name | SC REGIONAL HEALTH SYSTEM LLC |
| Other Organization Name | WILLISTON FAMILY MEDICINE |
| Practice Address |
45 Roundtree St Williston SC 29853-2303 |
| Mailing Address |
811 Reynolds Rd Attn: Clinic Business Office Barnwell SC 29812-1573 |
| Practice Telephone | 8032663600 |
| Practice Fax Number | 8032663641 |
| Mailing Telephone | 8032663600 |
| Mailing Fax Number | 8032663641 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | MARY T. VALLIANT (CEO) |
| Authorized Official Telephone | 8035414365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Williston Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467716787 | Sc Regional Health System LLC | Family Medicine | 22 Gardner Rd, Blackville, SC 29817-3126 | 2012-07-02 |
| 1891054193 | Sc Regional Health System LLC | General Acute Care Hospital | 811 Reynolds Rd, Barnwell, SC 29812-1573 | 2012-05-08 |
| Street Address |
45 ROUNDTREE ST |
| City | WILLISTON |
| State | SC |
| Zip Code | 29853-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497985162 | Barnwell County Hospital | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2009-07-16 |
| 1720487200 | Sc Healthcare Investments LLC | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2014-08-20 |
| 1730588211 | Sc Healthcare Investments Ll | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2014-08-20 |
| 1386874873 | Barnwell County Hospital | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989349 | Brittany Wyndham | Pharmacist | 12935 Main Street, Williston, SC 29853 | 2018-01-04 |
| 1467837633 | Billie Williams | Licensed Practical Nurse | 415 Memorial Ave., Allendale, SC 29853 | 2015-07-29 |
| 1003273145 | Angela Sharpe | Pharmacist | 2 E Main St, Williston, SC 29853 | 2016-01-20 |
| 1619211521 | Angela Nicole Marzolf | Occupational Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853 | 2012-11-15 |
| 1134252588 | Carolina Rural Practice Management, Inc. | Clinic/Center | 2677 Main St, Williston, SC 29853-0177 | 2007-03-14 |
| 1669524260 | John Wade Riley | Dentist | 10 Roundtree St., Williston, SC 29853-0659 | 2007-01-17 |
| 1750379442 | Williston Healthcare and Rehab, LLC | Skilled Nursing Facility | 5721 Springfield Rd, Williston, SC 29853-1917 | 2005-10-07 |
| 1497096259 | Alice Pyle Metts | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2013-03-04 |
| 1700120128 | Elise Faulkner | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-26 |
| 1215271812 | Cheryl Lee Gentry | Physical Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-20 |
| Find all providers in zip 29853 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
| 1265520605 | William E Code | Family Medicine | 1102 Main, Williston, ND 58801 | 2006-10-11 |
| 1225146954 | Stephen E Mann | Family Medicine | 586 Oak Hill, Williston, VT 05495 | 2006-08-25 |
| 1861418782 | Jeffrey Erik Haddock | Family Medicine | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2006-07-14 |
| 1992793673 | William Curtis Small | Family Medicine | 1213 15th Ave W, Williston, ND 58801-3800 | 2005-10-07 |
| 1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
| 1437780764 | Chantal Marie Nichols | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2020-01-27 |
| 1780220921 | Kristen M Caulder | Family Medicine | 13975 Church St, Williston, SC 29853-5835 | 2019-11-22 |
| 1508352915 | Tyler Greg Egan | Family Medicine | 300a Nw 1st Ave, Williston, FL 32696-2006 | 2018-07-09 |
| 1518457746 | Danielle Jasinski | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2018-05-14 |
| Find all providers in WILLISTON | ||||
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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.