DR. GOSSIE COLETTE HEATH MATHIS


Address: 130 Plaza Cir, Santee, SC 29142-9630
Phone: 8038543940

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
13454 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GPO261 05

Office Location

Street Address 130 PLAZA CIR
City SANTEE
State SC
Zip Code 29142-9630

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City SANTEE
Zip Code 29142

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Dataset Information

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.

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