ST JAMES SANTEE FAMILY HEALTH CENTER INC (NPI# 1316345846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316345846 |
| Entity Type | Organization |
| Organization Name | ST JAMES SANTEE FAMILY HEALTH CENTER INC |
| Other Organization Name | GEORGETOWN PEDIATRIC CENTER |
| Practice Address |
57 Jessamine Ave Georgetown SC 29440-5837 |
| Mailing Address |
Po Box 608 Mc Clellanville SC 29458-0608 |
| Practice Telephone | 8438873274 |
| Practice Fax Number | 8438873274 |
| Mailing Telephone | 8438873274 |
| Mailing Fax Number | 8428873817 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |
| Authorized Official Name | MRS. SANDRA D GILLIARD (CEO) |
| Authorized Official Telephone | 8438873274 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | ST JAMES SANTEE FAMILY HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Georgetown Pediatric Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629639760 | St James Santee Family Health Center Inc | Pediatrics | 13072 County Line Rd, Andrews, SC 29510-6811 | 2019-06-27 |
| 1538766712 | St James Santee Family Health Center Inc | Clinic/Center | 411 E Main St, Andrews, SC 29510-4011 | 2020-10-01 |
| 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 |
| 1780093435 | Marica Green | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-08-07 |
| 1013334200 | Georgetown Pediatric Center | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-03-25 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1962410613 | Careconnect Health, Inc. | Clinic/Center | 23 Old School Road, Georgetown, GA 39854-4627 | 2006-08-04 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1538670419 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave Ste 200, Georgetown, TX 78626-6821 | 2017-10-18 |
| 1972866200 | Lone Star Circle of Care | Clinic/Center | 1900 Scenic Dr, Suite 3326, Georgetown, TX 78626-7724 | 2012-06-21 |
| 1669603361 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-07-30 |
| 1437390705 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-03-17 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1962683599 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| 1770764300 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on ST JAMES SANTEE FAMILY HEALTH CENTER INC.
| 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.