MR. GREGORY IAN SPAIN (NPI# 1720346463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720346463 |
Entity Type | Individual |
Full Name | MR. GREGORY IAN SPAIN |
Credential | PA-C |
Practice Address |
301 E Jackson St Dillon SC 29536-2509 |
Practice Telephone | 8437744111 |
Mailing Telephone | 8437744111 |
Enumeration Date | 2012-05-01 |
Last Update Date | 2014-03-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA 2033 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
6414 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9106544 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942378724 | Gregory C Spain | Podiatrist | 11323 Reflection Isles Blvd, Fort Myers, FL 33912 | 2006-12-01 |
Street Address |
301 E JACKSON ST |
City | DILLON |
State | SC |
Zip Code | 29536-2509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023014891 | Paul M. Alexander | Emergency Medicine | 301 E Jackson St, Dillon, SC 29536-2509 | 2005-06-24 |
1376183251 | Helga Regina Floyd | Registered Nurse | 301 E Jackson St, Dillon, SC 29536-2509 | 2020-01-08 |
1245878487 | Haley E Jones | Registered Nurse | 301 E Jackson St, Dillon, SC 29536-2509 | 2019-12-18 |
1487177895 | Justin Osean | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2017-07-18 |
1366970741 | Tammy Gainey Huckabee | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2017-05-30 |
1881145696 | Elizabeth Blakey | Dietitian, Registered | 301 E Jackson St, Dillon, SC 29536-2509 | 2016-10-17 |
1124487541 | Mcleod Medical Center-dillon | Medicare Defined Swing Bed Unit | 301 E Jackson St, Dillon, SC 29536-2509 | 2016-02-12 |
1265805030 | Symphony Emergency Physicians, LLC | Physician Assistant | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-11-03 |
1801271739 | Raymond Brown | Physician Assistant | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-07-21 |
1811382849 | Jimmi Lynette Jones | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
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Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679035158 | Morgan Mcdaniel Hicks | Physician Assistant | 603 N 6th Ave, Dillon, SC 29536-2503 | 2019-04-03 |
1154530756 | Kymberly M Tart | Physician Assistant | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2007-05-21 |
1750471967 | Keith S. Rockwiley | Physician Assistant | 301 E Jackson St, Emergency Dept., Dillon, SC 29536-2509 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
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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.