John Charles (NPI# 1457359044, PAC ID# 4981875424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1457359044 |
| PAC ID by PECOS | 4981875424 |
| Professional Enrollment ID | I20190612001138 |
| Full Name | John Charles |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA LLC |
| Address |
5050 Hwy 17 Byp S Myrtle Beach SC 29588-4500 |
| Phone Number | 8436924540 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 8325261209 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5050 Hwy 17 Byp S, Myrtle Beach, SC 29588-4500 | 8436924540 | HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA LLC |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacie Newman Bryant | Nurse Practitioner | Healogics Specialty Physicians of South Carolina LLC | 1580 Freedom Blvd, Suite 106, Florence, SC 29505-6074 |
| Hope Easler Lipscomb | Nurse Practitioner | Healogics Specialty Physicians of South Carolina LLC | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| David L Demby | Nurse Practitioner | Healogics Specialty Physicians of South Carolina LLC | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Peter M Bleyer | Family Medicine | Healogics Specialty Physicians of South Carolina LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Alex Brian Mcintyre | Cardiac Surgery | Healogics Specialty Physicians of South Carolina LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| William E Wheeler | General Surgery | Healogics Specialty Physicians of South Carolina LLC | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Sonja M Lichtenstein Zayneh | General Surgery | Healogics Specialty Physicians of South Carolina LLC | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Thomas G Foreman | General Surgery | Healogics Specialty Physicians of South Carolina LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Street Address |
5050 HWY 17 BYP S |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29588-4500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Cruse | Nurse Practitioner | Southeastern Hospitalist Services, PC | 5050 Hwy 17 Byp S, Myrtle Beach, SC 29588-4500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew John Gresko | Cardiac Electrophysiology | Veritas Healthcare Solutions, LLC | 5046 Hwy 17 S Byp 100, Myrtle Beach, SC 29588 |
| Stephen E Boatwright | Anesthesiology | Palmetto Spine and Pain Care Consultants LLC | 47369 Hwy 17 Bypass S, Myrtle Beach, SC 29588 |
| Craig Lieberman | Cardiovascular Disease (cardiology) | Veritas Healthcare Solutions, LLC | 5046 Hwy 17 S Byp 100, Myrtle Beach, SC 29588 |
| John R Hicks | Cardiovascular Disease (cardiology) | Veritas Healthcare Solutions, LLC | 5046 Hwy 17 S Byp 100, Myrtle Beach, SC 29588 |
| Douglas S Head | Internal Medicine | Veritas Healthcare Solutions, LLC | 5046 Hwy 17 S Byp 100, Myrtle Beach, SC 29588 |
| Kerri Bryan Frey | Physician Assistant | Palmetto Spine and Pain Care Consultants LLC | 47369 Hwy 17 Bypass S, Myrtle Beach, SC 29588 |
| Mark H Schecker | Allergy/immunology | 3516 Caduceus Dr, Myrtle Beach, SC 29588-2902 | |
| Robert Scott Purvis | Dermatology | Grand Strand Dermatology | 3001 Newcastle Loop, Myrtle Beach, SC 29588-4502 |
| Renee Ruth Lamm | Psychiatry | Strand Psychiatric Associates Pa | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 |
| Changho G Kang | Physical Medicine and Rehabilitation | 3029 Newcastle Loop, Myrtle Beach, SC 29588-4502 | |
| Find all physicians in zip 29588 | |||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MYRTLE BEACH + GENERAL PRACTICE |
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| 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.