TRACEY W SELLERS (NPI# 1366678187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366678187 |
| Entity Type | Organization |
| Organization Name | TRACEY W SELLERS |
| Practice Address |
111 Clebourne St Suite 120 Fort Mill SC 29715-1758 |
| Practice Telephone | 8037467313 |
| Practice Fax Number | 8037467332 |
| Mailing Telephone | 8037467313 |
| Mailing Fax Number | 8037467332 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | TRACEY WYNNE SELLERS (PRESIDENT) |
| Authorized Official Telephone | 8037467313 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3248 | SC | Ambulatory Health Care Facilities |
| Street Address |
111 CLEBOURNE ST SUITE 120 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407278 | Dara Anita Josiah-howze | Psychiatry & Neurology | 111 Clebourne St, Suite 110, Fort Mill, SC 29715 | 2005-09-14 |
| 1427317411 | Carolina Interventional Pain Associates, Pa | Non-Pharmacy Dispensing Site | 111 Clebourne St, Suite 130, Fort Mill, SC 29715-1758 | 2012-05-10 |
| 1518258862 | Regina Myatt Felts | Counselor | 111 Clebourne St, Suite 140, Fort Mill, SC 29715-1758 | 2011-04-20 |
| 1629200555 | Chad Donald Frisch | Chiropractor | 111 Clebourne St, Suite 120, Fort Mill, SC 29715-1758 | 2009-08-11 |
| 1588899314 | The Olive Tree Wellness Center | Psychiatry & Neurology | 111 Clebourne St, Suite 110, Fort Mill, SC 29715-1758 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497942510 | Schirmer Chiropractic Inc. | Clinic/Center | 1171 Market St, Suite 112, Fort Mill, SC 29708-6500 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1932716867 | Living Well Chiropractic | Clinic/Center | 3786 Farrs Bridge Rd Ste E, Easley, SC 29640-9345 | 2020-09-24 |
| 1649802497 | Regenerative Health 360 LLC | Clinic/Center | 429 Roper Mountain Rd Ste 150, Greenville, SC 29615-4265 | 2020-02-10 |
| 1912537119 | Fairfield Medical Associates, Pa | Clinic/Center | 428 Mcnulty St Ste 3, Blythewood, SC 29016-8786 | 2020-01-16 |
| 1861037574 | Senior Centers of Cherokee County | Clinic/Center | 499 W Rutledge Ave, Gaffney, SC 29341-1639 | 2019-11-18 |
| 1093366056 | Simply Me Infusion Center LLC | Clinic/Center | 1601 N Oak St Ste 307, Myrtle Beach, SC 29577-3579 | 2019-09-21 |
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1285290270 | Caresouth Carolina, Inc. | Clinic/Center | 810 Brown St Ste 1, Bishopville, SC 29010-1176 | 2019-05-15 |
| 1750865622 | Merge Medical Analytics | Clinic/Center | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2018-09-18 |
| 1245718444 | Rapha Wells Primary Health Care | Clinic/Center | 1013 Kincaid Bridge Rd, Winnsboro, SC 29180-7113 | 2018-07-31 |
| Find all providers with the same taxonomy | ||||
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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.