4OLA HEALTH SOLUTIONS, LLC (NPI# 1750848917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750848917 |
| Entity Type | Organization |
| Organization Name | 4OLA HEALTH SOLUTIONS, LLC |
| Practice Address |
11382 N Jacob Smart Blvd Ridgeland SC 29936-2700 |
| Practice Telephone | 8436459797 |
| Practice Fax Number | 8436459798 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | ALTHEA GRAHAM (PROJECT MANAGER) |
| Authorized Official Telephone | 8434754333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1875 N Paris Ave, Port Royal, SC 299352029 | 8435223870 | 8435220691 |
| Street Address |
11382 N JACOB SMART BLVD |
| City | RIDGELAND |
| State | SC |
| Zip Code | 29936-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335863 | Samantha Claybrook | Nurse Practitioner | 11382 N Jacob Smart Blvd, Ridgeland, SC 29936-2700 | 2020-01-20 |
| 1689219800 | Jamison Consultants, LLC | Pediatrics | 11382 N Jacob Smart Blvd, Ridgeland, SC 29936-2700 | 2019-11-12 |
| 1851948459 | Ashlie C Gavant | Nurse Practitioner | 11382 N Jacob Smart Blvd, Ridgeland, SC 29936-2700 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1568884385 | Kristen Reeves | Occupational Therapist | 10616 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2014-01-14 |
| 1942547138 | Jennifer Loadholt Moore | Social Worker | 204 North Railroad Avenue, Ridgeland, SC 29936 | 2013-01-09 |
| 1568719649 | Jennifer Lynn Coleman | Counselor | 203 N. Railroad Ave., Ridgeland, SC 29936 | 2012-08-08 |
| 1184945925 | Niles Edemeka Carter | Obstetrics & Gynecology | 1320 S. Ribaut Rd, Port Royal, SC 29936 | 2010-06-16 |
| 1831328459 | Jamie Singleton | Pediatrics | 1320 S. Ribaut Rd., Beaufort, SC 29936 | 2009-07-02 |
| 1487801668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 721 Okatie Hwy 170, Ridgeland, SC 29936 | 2008-08-19 |
| 1295912004 | Ridgeland Dialysis LLC | Clinic/Center | 112 Weathersbee St, Ridgeland, SC 29936 | 2008-01-23 |
| 1518143221 | Ridgeland Eye Associates LLC | Ophthalmology | 10668 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2008-01-11 |
| 1053594713 | Caring Hands Health Equipment & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 107d East Main Street, Ridgeland, SC 29936 | 2007-12-17 |
| Find all providers in zip 29936 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922396126 | Russell Ray Lyle | Pediatrics | 303 Hunter Crest, Ridgeland, MS 39157 | 2011-07-21 |
| 1487731204 | Jennifer O'sullivan | Pediatrics | 297 Highway 51 Ste B, Ridgeland, MS 39157-3423 | 2006-11-01 |
| 1497707210 | Jantana Vuthiganon | Pediatrics | 1506 Grays Highway, Suite C, Ridgeland, SC 29936 | 2006-05-17 |
| 1033421375 | Shamika Rochelle Hudson | Pediatrics | 297 Highway 51 Ste B, Ridgeland, MS 39157-3423 | 2010-07-01 |
| 1679775944 | Courtney Rey Convertino | Pediatrics | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2007-05-31 |
| 1386777589 | Yolanda W Wilson | Pediatrics | 297 Highway 51 Ste B, Ridgeland, MS 39157-3423 | 2007-03-14 |
| 1558460642 | Internal Medicine & Pediatric Associates | Pediatrics | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2006-09-22 |
| 1174569818 | Monica Taylor | Pediatrics | 721 Okatie Highway, Ridgeland, SC 29936 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981833 | Kaitlyn Marie Skelston | Pediatrics | 2828 Bayboro St, Loris, SC 29569-2710 | 2020-10-28 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1265066658 | Sahar Alavi | Pediatrics | 1439 Cambridge Lakes Dr, Mount Pleasant, SC 29464-7301 | 2020-02-25 |
| 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.