GREGORY NATHAN FANCHER (NPI# 1578623914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578623914 |
| Entity Type | Individual |
| Full Name | GREGORY NATHAN FANCHER |
| Credential | MS |
| Practice Address |
603 Barnwell Hwy Allendale SC 29810-1905 |
| Mailing Address |
1050 Ribaut Rd Beaufort SC 29902-5400 |
| Practice Telephone | 8035844636 |
| Practice Fax Number | 8035845065 |
| Mailing Telephone | 8435248899 |
| Mailing Fax Number | 8435248179 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 421504 | 05 |
| Street Address |
603 BARNWELL HWY |
| City | ALLENDALE |
| State | SC |
| Zip Code | 29810-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700980240 | Yokina K. Williams | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-09-12 |
| 1851840862 | India Curry | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2016-10-03 |
| 1851572796 | Natashia L Felder | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-11-20 |
| 1902951510 | Katherine Elizabeth Tharin | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498785 | Cory Anthony Russell | Counselor | 438 Barnwell Rd, Allendale, SC 29810 | 2014-04-30 |
| 1457444218 | James Freeman | Counselor | 603 Barnwell Road, Allendale, SC 29810 | 2006-10-02 |
| 1306949656 | Christy Jinks | Counselor | 603 Barnwell Rpad, Allendale, SC 29810 | 2006-09-05 |
| 1083693832 | Allendale County Rescue Squad Inc | Ambulance | 606 Hickory St, Allendale, SC 29810 | 2006-01-11 |
| 1407906878 | Allendale County Hospital Board | Clinic/Center | 623 Memorial Ave N, Allendale, SC 29810 | 2007-01-10 |
| 1295039717 | Inspiring Growth Counseling Services | Community/Behavioral Health | 279-b Hickory Street, Allendale, SC 29810-1080 | 2010-12-23 |
| 1801985635 | State of South Carolina | Public Health or Welfare | 571 Memorial Ave N, Allendale, SC 29810-2713 | 2006-10-12 |
| 1225524275 | Ohio Valley Physicians Inc | Family Medicine | 571 Memorial Ave N, Allendale, SC 29810-2713 | 2018-07-02 |
| 1225420425 | Kimberly Solomon | Licensed Practical Nurse | 571 Memorial Ave N, Allendale, SC 29810-2713 | 2015-02-25 |
| 1447662895 | Nicole Smith | Registered Nurse | 571 Memorial Ave N, Allendale, SC 29810-2713 | 2014-05-20 |
| Find all providers in zip 29810 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810214 | Jenice Ivette Green | Psychologist | 801 Oakwood St Apt 6g, Bennettsville, SC 29512-2465 | 2017-06-08 |
| 1770948457 | Lorraine Tavarez Lopez | Psychologist | 1 Windsor Cv Ste 404, Columbia, SC 29223-1833 | 2015-12-22 |
| 1265847255 | Tracy Redfearn Inc. | Psychologist | 702b W Carolina Ave, Hartsville, SC 29550-4412 | 2014-06-27 |
| 1356604466 | Brittany Moree Rudy | Psychologist | 127 W Antrim Dr, Greenville, SC 29607-2505 | 2012-06-22 |
| 1376847483 | Susan Kreh Beck | Psychologist | 304 Firebridge Rd, Columbia, SC 29223-5122 | 2011-01-04 |
| 1710215520 | James Reid | Psychologist | 670 Blvd De France, Parris Island, SC 29905 | 2009-12-07 |
| 1710212196 | Tabitha Delaina Ball | Psychologist | 1199 Chivalry St, Sumter, SC 29154-7412 | 2009-10-02 |
| 1346410446 | William Harrison Wells | Psychologist | 1665 Herlong Ct Ste B, Rock Hill, SC 29732-1193 | 2008-03-04 |
| 1164692497 | Michael Gene Dodson | Psychologist | 145 Veranda Lane, Aiken, SC 29803-4907 | 2008-03-03 |
| 1437363330 | Joshua Gordon Chinitz | Psychologist | 1578 Dowden Ct, Charleston, SC 29407-5011 | 2007-05-09 |
| 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.