MATTISON WILLIAMS CRAIG (NPI# 1912505652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912505652 |
| Entity Type | Individual |
| Full Name | MATTISON WILLIAMS CRAIG |
| Credential | NP |
| Practice Address |
108 Woodstock Ln Greer SC 29650-3918 |
| Practice Telephone | 8647875933 |
| Mailing Telephone | 8647875933 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24341 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
108 WOODSTOCK LN |
| City | GREER |
| State | SC |
| Zip Code | 29650-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1497370589 | Barbara Sue Wall | Nurse Practitioner | 315 Ascot Ridge Ln, Greer, SC 29650-3692 | 2020-06-15 |
| 1205471125 | Sherrel Fleming | Nurse Practitioner | 8 Reddington Dr, Greer, SC 29650-4795 | 2019-11-14 |
| 1235623943 | Karen Michelle Picone | Nurse Practitioner | 148 Redcroft Dr, Greer, SC 29651-7004 | 2018-06-16 |
| 1528516093 | Brittany Taylor Lockhart | Nurse Practitioner | 230 W Wade Hampton Blvd Ste 120, Greer, SC 29650-1655 | 2016-09-14 |
| 1467847012 | Cathleen Castay | Nurse Practitioner | 405 Memorial Drive Ext, Greer, SC 29651-1817 | 2015-03-31 |
| 1740467281 | Amy Clanton Boone | Nurse Practitioner | 3308 Brushy Creek Rd, Greer, SC 29650 | 2008-01-28 |
| 1225222326 | Faith Marie Burke | Nurse Practitioner | 214 Watkins Farm Dr, Greer, SC 29651-7539 | 2007-08-31 |
| 1740493519 | Tara Lynette Pahnke | Nurse Practitioner | 113b Berry Ave, Greer, SC 29651-1307 | 2007-05-08 |
| 1104433127 | Allie Rose Dowe | Nurse Practitioner | 3115d Brushy Creek Rd, Greer, SC 29650-0903 | 2020-09-24 |
| Find all providers in GREER | ||||
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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.