CAROLINAS MEDICAL ALLIANCE INC (NPI# 1417354606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417354606 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL ALLIANCE INC |
| Other Organization Name | CAROLINAS MEDICAL ALLIANCE - LAKE CITY PRIMARY CARE |
| Practice Address |
148 Sauls St Lake City SC 29560-2631 |
| Practice Telephone | 8433743621 |
| Mailing Telephone | 8433743621 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | PAT WRIGHT (DIRECTOR) |
| Authorized Official Telephone | 6154657633 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS/COMMUNITY HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolinas Medical Alliance - Lake City Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679970867 | Carolinas Medical Alliance Inc | Internal Medicine | 1590 Freedom Blvd Ste C, Florence, SC 29505-6071 | 2014-12-03 |
| 1568869071 | Carolinas Medical Alliance Inc | Family Medicine | 301 Pearl St, Darlington, SC 29532-3812 | 2014-11-26 |
| 1861459174 | Carolinas Medical Alliance Inc | General Practice | 105 N Railroad Ave, Lamar, SC 29069-9727 | 2006-04-28 |
| 1265499537 | Carolinas Medical Alliance Inc | Internal Medicine | 953 Pamplico Hwy South, Pamplico, SC 29583-4058 | 2006-04-28 |
| 1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
| 1134527229 | Carolinas Medical Alliance Inc | Internal Medicine | 1594 Freedom Blvd Ste 205, Florence, SC 29505-6046 | 2014-12-05 |
| 1295132355 | Carolinas Medical Alliance Inc | Internal Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2014-12-04 |
| 1023411410 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6056 | 2014-09-30 |
| 1033518683 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste B230, Florence, SC 29505-6066 | 2014-08-20 |
| 1912306572 | Carolinas Medical Alliance Inc | Family Medicine | 2501 S Vance Dr Ste A, Florence, SC 29505-6163 | 2014-08-20 |
| Street Address |
148 SAULS ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497715148 | Maud N Mmbo-keith | Occupational Therapist | 148 Sauls St, Ste B, Lake City, SC 29560-2631 | 2006-03-26 |
| 1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
| 1033534151 | Diana Lee Collins | Nurse Practitioner | 148 Sauls St, Lake City, SC 29560-2677 | 2014-02-26 |
| 1598199622 | Alice Washington Peterson | Massage Therapist | 148 Sauls St, Lake City, SC 29560-2631 | 2013-08-26 |
| 1487942157 | Live Oak Medical Center | Non-Pharmacy Dispensing Site | 148 Sauls St, Lake City, SC 29560-2631 | 2011-07-15 |
| 1255630174 | Palmetto Primary Care Physicians | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2011-03-17 |
| 1386957942 | Lake City Diagnostic Imaging, Inc. | Clinic/Center | 148 Sauls St, Lake City, SC 29560-2631 | 2010-07-23 |
| 1104145697 | Ih3 Physcial Therapy | Clinic/Center | 148 Sauls St, Lake City, SC 29560-2631 | 2010-05-23 |
| 1144314394 | Ernest M Atkinson | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2006-10-03 |
| 1003912775 | Benjamin Wade Lamb | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| 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 |
|---|---|---|---|---|
| 1538655766 | Silver Thread Public Health District | Family Medicine | 304 W. 3rd St, Lake City, CO 81235-0277 | 2018-07-11 |
| 1467814582 | Osayamen O Omoruyi | Family Medicine | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2016-03-28 |
| 1255698619 | Osayande Stephen Izeiyamu | Family Medicine | 194 Sw Wall Ter, Lake City, FL 32025-5086 | 2012-04-23 |
| 1811206923 | Riverside Medical Clinic | Family Medicine | 803 Hwy 18, Lake City, AR 72347-0505 | 2010-10-07 |
| 1508181272 | Dynamic Health Centers | Family Medicine | 163 Sw Stonegate Ter Ste 109, Lake City, FL 32024-3459 | 2010-04-06 |
| 1659506699 | Live Oak Medical Center, Pa | Family Medicine | 148 Sauls St., Lake City, SC 29560 | 2009-05-20 |
| 1871776732 | Javier D Amador | Family Medicine | 484 Sw Commerce Dr Ste 140, Lake City, FL 32025-1588 | 2007-12-13 |
| 1699838003 | Peter Wendell Giebeig Jr. | Family Medicine | 5085 West Us Hwy 90, Lake City, FL 32055 | 2006-12-18 |
| 1568544054 | Miguel Jose Tepedino | Family Medicine | 1717 Sw Newland Way, Lake City, FL 32025-6966 | 2006-10-20 |
| 1801992599 | Morris E Brown IIi | Family Medicine | 901 N. Matthews Road, Lake City, SC 29560-7024 | 2006-09-16 |
| Find all providers in LAKE CITY | ||||
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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.