Deidra Huckabee (NPI# 1174008841, PAC ID# 0547506966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174008841 |
| PAC ID by PECOS | 0547506966 |
| Professional Enrollment ID | I20190107000811 |
| Full Name | Deidra Huckabee |
| Organization Legal Name | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Address |
9330 Medical Plaza Dr Charleston SC 29406-9104 |
| Phone Number | 8438474559 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476855420 |
| Number of Group Practice Members | 243 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 8438474559 | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Organization Legal Name | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Ellis Rawls | Internal Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Robin Malik | Family Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Darlene R Crittenden | Nurse Practitioner | Southeastern Hospitalist Services, PC | 2122 Manchester Expy, Columbus, GA 31904-6878 |
| Rima P Patel | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Gabriele Polk-seldon | Nurse Practitioner | Southeastern Hospitalist Services, PC | 2122 Manchester Expy, Columbus, GA 31904-6878 |
| Fritz E Jean-gilles | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Farnel F Backer | Family Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Andrew Peter Mangano | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Thanigaiarsu Thiyagarajan | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Joshua Paul Myers | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Street Address |
9330 MEDICAL PLAZA DR |
| City | CHARLESTON |
| State | SC |
| Zip | 29406-9104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Del Valle | Anesthesiology | Trident Anesthesia Group LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Drew P Cardwell | Certified Registered Nurse Anesthetist (crna) | Trident Anesthesia Group LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Yevgeniy Gelfand | Internal Medicine | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Rima P Patel | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Fritz E Jean-gilles | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Farnel F Backer | Family Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Holly B Miller | Physician Assistant | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Emily Whitman | Physician Assistant | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Christopher W Phillips | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Darren Sidney | Cardiac Electrophysiology | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | CHARLESTON |
| Zip Code | 29406 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLESTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Deidra Huckabee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.