DEREK MCELREATH (NPI# 1780181826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780181826 |
| Entity Type | Individual |
| Full Name | DEREK MCELREATH |
| Practice Address |
22725 Highway 76 E Clinton SC 29325-7527 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8648339100 |
| Practice Fax Number | 8648339458 |
| Mailing Telephone | 8647976308 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21799 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22725 HIGHWAY 76 E |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-7527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812314 | Timothy Joseph Blanchat | Internal Medicine | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2005-06-22 |
| 1053910612 | Jennifer Bryson | Pharmacist | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2020-10-23 |
| 1992304182 | Lee Jacobs Dailey | Pharmacist | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2020-10-20 |
| 1598214660 | Sarah Anne Beaudelaire | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-09-29 |
| 1205382314 | Upstate Affiliate Organization | Skilled Nursing Facility | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1568918662 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Medical Office Building 3rd Floor, Clinton, SC 29325-7527 | 2016-08-29 |
| 1245786367 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1861844979 | Will Godfrey | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-07-13 |
| 1205203502 | Jennifer White Patterson | Nurse Practitioner | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2015-08-21 |
| 1669867826 | Nicole A Meier | Dietitian, Registered | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2015-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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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.