CAROLINA NEUROPATHY CENTER, LLC (NPI# 1427305531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427305531 |
| Entity Type | Organization |
| Organization Name | CAROLINA NEUROPATHY CENTER, LLC |
| Practice Address |
101 Professional Park Suite D Gaffney SC 29340-2319 |
| Practice Telephone | 8644891446 |
| Practice Fax Number | 8644894909 |
| Mailing Telephone | 8644891446 |
| Mailing Fax Number | 8644894909 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Authorized Official Name | MRS. STEPHANIE COGDILL WADDELL (BILLING MANAGER) |
| Authorized Official Telephone | 8649812846 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 086296 | NC | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F4423 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
201538 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208D00000X | General Practice | MD9903 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
101 PROFESSIONAL PARK SUITE D |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29340-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677682 | Bruce H Wellmon Dpm Pa | Podiatrist | 101 Professional Park, Gaffney, SC 29340-2319 | 2005-08-25 |
| 1336593979 | Gaffney Urgent Care | Clinic/Center | 101 Professional Park, Suite B, Gaffney, SC 29340-2319 | 2016-04-20 |
| 1942626502 | Gina Wells Yost | Nurse Practitioner | 101 Professional Park, Gaffney, SC 29340-2319 | 2014-03-06 |
| 1871852061 | Alfred Randall Moss Md Pa | Non-Pharmacy Dispensing Site | 101 Professional Park, Gaffney, SC 29340-2319 | 2012-05-09 |
| 1063697894 | Alfred Randall Moss, M.d. P.a | Family Medicine | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-12-28 |
| 1437346475 | Bruce H Wellmon | Podiatrist | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-10-03 |
| 1821282146 | Bruce H Wellmon Dpm Pa | Podiatrist | 101 Professional Park, Gaffney, SC 29340 | 2007-08-29 |
| 1245294107 | Alfred Randall Moss | Family Medicine | 101 Professional Park, Gaffney, SC 29340-2319 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1477805448 | Upstate Carolina Ems Inc | Ambulance | 145 Medical Center Dr., Gaffney, SC 29340 | 2012-10-15 |
| 1730439811 | Mickey Dean Bailey | Pharmacist | 229 West Buford Dtreet, Gaffney, SC 29340 | 2012-09-14 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| 1750448858 | Peachtree Centre Cherokee County Long Term Health | Assisted Living Facility | 1434 N. Limestone Street, Gaffney, SC 29340 | 2007-01-02 |
| 1629151550 | Otis Donnell Speight | Emergency Medicine | 510 Thompson Street, Dba Ltc Health Solutions, Gaffney, SC 29340 | 2006-10-23 |
| 1881604965 | Andrew P Harakas Md Pa | Specialist | 1552 N Limestone St, Suite C, Gaffney, SC 29340 | 2006-08-09 |
| 1023026358 | Pamela Turner Boone | Pharmacist | 1530 N. Limestone St, Gaffney, SC 29340 | 2006-08-03 |
| 1831126606 | Bruce Douglas Mikota | Chiropractor | 111 West Rutledge Avenue, Gaffney, SC 29340 | 2006-06-27 |
| 1063469062 | John Colby Stowell | Surgery | 117 E Montgomery St, Gaffney, SC 29340 | 2006-05-27 |
| Find all providers in zip 29340 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.