Dejan Lukovic (NPI# 1427545854, PAC ID# 4082969266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427545854 |
| PAC ID by PECOS | 4082969266 |
| Professional Enrollment ID | I20180611002384 |
| Full Name | Dejan Lukovic |
| Organization Legal Name | CAROLINA NEPHROLOGY PA |
| Address |
400 Plaza Cir Suite H Clinton SC 29325-7558 |
| Phone Number | 8642711844 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961467733 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420078 | GHS GREENVILLE MEMORIAL HOSPITAL |
| 420015 | BAPTIST EASLEY HOSPITAL |
| 420023 | ST FRANCIS-DOWNTOWN |
| 420037 | GHS HILLCREST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 Plaza Cir, Suite H, Clinton, SC 29325-7558 | 8642711844 | CAROLINA NEPHROLOGY PA |
| 203 Mills Ave, Greenville, SC 29605-4019 | 8642711844 | CAROLINA NEPHROLOGY PA |
| Organization Legal Name | CAROLINA NEPHROLOGY PA |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopa Shah | Nephrology | Carolina Nephrology Pa | 1704 A Wayne Memorial Dr, Goldsboro, NC 27534-2240 |
| Abhaya Varma | Nephrology | Carolina Nephrology Pa | 400 Plaza Cir, Suite H, Clinton, SC 29325-7558 |
| Barry R Gorlitsky | Nephrology | Carolina Nephrology Pa | 1410 B John B White Sr Blvd, Spartanburg, SC 29306-3927 |
| Chitra Nathan | Nephrology | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Victor A Klimas | Internal Medicine | Carolina Nephrology Pa | 110 Chalmers Rd, Greenville, SC 29605-1351 |
| Cynthia Evans | Nurse Practitioner | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Brittani Ledford Robinson | Nurse Practitioner | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| John F Sharkey | Nurse Practitioner | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Jasjot Kaur Bhullar | Nephrology | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| William Brian Ward | Nephrology | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Street Address |
400 PLAZA CIR SUITE H |
| City | CLINTON |
| State | SC |
| Zip | 29325-7558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abhaya Varma | Nephrology | Carolina Nephrology Pa | 400 Plaza Cir, Suite H, Clinton, SC 29325-7558 |
| Karen M Robertson | Nurse Practitioner | Carolina Nephrology Pa | 400 Plaza Cir, Suite H, Clinton, SC 29325-7558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Griz | Orthopedic Surgery | Palmetto Bone and Joint Pa | 22971 Hwy 76 E, Clinton, SC 29325 |
| Jerett Donald Tozzi | Emergency Medicine | Greenville Health System | 22725 Hwy 76 E, Clinton, SC 29325 |
| Ryan Von Williams | Chiropractic | 209 Musgrove St, Clinton, SC 29325-2347 | |
| Margaret Shreve | Chiropractic | Ryan Clinic LLC | 209 Musgrove St, Clinton, SC 29325-2347 |
| Bernadine Donaldson | Optometry | Macmillan Optical Inc | 118 Musgrove St, Clinton, SC 29325-2350 |
| Wendy Nix | Nurse Practitioner | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Neal Robert Goodbar | Emergency Medicine | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Gill P Thomas | Optometry | 204 E Carolina Ave, Clinton, SC 29325-2523 | |
| George N Pattis | Podiatry | Upstate Podiatry Group Pa | 1073 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Mark D Herndon | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Find all physicians in zip 29325 | |||
| City | CLINTON |
| Zip Code | 29325 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLINTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dejan Lukovic.
| 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.