GRAY PHELPS (NPI# 1881055309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881055309 |
| Entity Type | Individual |
| Full Name | GRAY PHELPS |
| Practice Address |
1304 W Bobo Newsom Hwy Carolina Pines Regional Medical Center Hartsville SC 29550-4710 |
| Practice Telephone | 8433394608 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2461 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1304 W BOBO NEWSOM HWY CAROLINA PINES REGIONAL MEDICAL CENTER |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624023 | Sally Webb Regan | Radiology | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2005-10-24 |
| 1477191294 | Jordan Fust | Clinic/Center | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-12-11 |
| 1700433976 | Jennifer L Olszowy | Physical Therapist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-08-22 |
| 1487200382 | Bridget Dix | Physical Therapist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-08-15 |
| 1063066801 | Margaret Ashleigh Evans | Physician Assistant | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-07-30 |
| 1114582954 | James August Newman Jr. | Physical Therapist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-05-07 |
| 1093274235 | Prestwood Radiology, LLP | Radiology | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-03-18 |
| 1154848786 | App of South Carolina Hm Pllc | Hospitalist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
| 1457878084 | App of South Carolina Ed Pllc | Emergency Medicine | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
| 1265824809 | Kenneth Carl Staples Jr. | Emergency Medicine | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2015-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066801 | Margaret Ashleigh Evans | Physician Assistant | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-07-30 |
| 1043775042 | Amanda Jo Webb | Physician Assistant | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2019-02-04 |
| 1003251562 | Ian Michael Carrese | Physician Assistant | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2013-05-09 |
| 1578806014 | Sylvia Goodman Barry | Physician Assistant | 1015 S 4th St, Hartsville, SC 29550-5791 | 2013-04-03 |
| 1144520560 | Kelly M Caggiano | Physician Assistant | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2010-11-01 |
| 1841527454 | Maggie Lawhon Flowers | Physician Assistant | 708 Medical Park Dr, Hartsville, SC 29550-4765 | 2009-11-03 |
| 1427179084 | Mary Carol Younginer | Physician Assistant | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
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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.