DR. GOSSIE COLETTE HEATH MATHIS (NPI# 1295856557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295856557 |
Entity Type | Individual |
Full Name | DR. GOSSIE COLETTE HEATH MATHIS |
Other Name | GOSSIE MATHIS |
Credential | M.D |
Practice Address |
130 Plaza Cir Santee SC 29142-9630 |
Mailing Address |
Po Box 277 Santee SC 29142-0277 |
Practice Telephone | 8038543940 |
Practice Fax Number | 8038543945 |
Mailing Telephone | 8038543940 |
Mailing Fax Number | 8038543945 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2015-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
13454 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GPO261 | 05 |
Street Address |
130 PLAZA CIR |
City | SANTEE |
State | SC |
Zip Code | 29142-9630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366076747 | Deborah Jenkins | Registered Nurse | 130 Plaza Cir, Santee, SC 29142-9630 | 2020-02-25 |
1932427168 | Santee Family Medical Center, Inc | Clinic/Center | 130 Plaza Cir, Santee, SC 29142-9630 | 2010-05-12 |
1326217654 | Santee Family Medical Center | Clinic/Center | 130 Plaza Cir, Santee, SC 29142-9630 | 2008-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629312111 | Cvs Pharmacy | Pharmacist | 240 Planters Trace Rd, Santee, SC 29142 | 2012-11-21 |
1184861411 | Palmetto Eye Associates | Optometrist | 150 Plaza Circle, Santee, SC 29142 | 2009-01-08 |
1285890186 | Santee Family Medical Ctr | Clinic/Center | 309 Santee River Plz, Santee, SC 29142 | 2008-07-31 |
1205004520 | Santee Dental Care | Dentist | 190 B Plaza Circle, Santee, SC 29142 | 2008-02-20 |
1407032295 | Carolina Cataract Clinic | Ophthalmology | 8799 Old Highway # 6, Santee, SC 29142 | 2008-01-11 |
1891854949 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8910 Old Highway 6, Santee, SC 29142 | 2006-12-06 |
1114935475 | Medical Center of Santee LLC | Clinic/Center | 500 Bass Drive, Santee, SC 29142 | 2006-08-03 |
1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
1407040728 | Delores Gregory Hollen | Counselor | 8799 Old Highway #6, Santee, SC 29142 | 2007-08-29 |
1467869776 | Vanester Ravenell | Social Worker | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-07-18 |
Find all providers in zip 29142 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790781938 | Indra Sriram | Internal Medicine | 168 Carolina Ridge Dr, Columbia, SC 29229-7396 | 2005-06-22 |
1922235787 | Candice A Thornton | Internal Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2009-06-18 |
1851550487 | Carole Irene Mercer | Internal Medicine | 312 Harrison Bridge Rd, Simpsonville, SC 29680 | 2008-06-09 |
1104025782 | Prishal Chetty Holloway | Internal Medicine | 1228 Harden St, Columbia, SC 29204-1800 | 2007-07-13 |
1306946561 | Heather Alexis Moreira | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-25 |
1396845103 | Stefanie Marie Putnam | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-22 |
1467551788 | Jeffrey Austin Gerac | Internal Medicine | 701 Grove Rd, 5th Floor, Greenville, SC 29605-5611 | 2006-09-22 |
1902906712 | Jeremy Michael Byrd | Internal Medicine | 727 Se Main St, Suite 320, Simpsonville, SC 29681-3247 | 2006-09-22 |
Please comment or provide details below to improve the information on DR. GOSSIE COLETTE HEATH MATHIS.
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.