Mark D Herndon (NPI# 1285751107, PAC ID# 6406049840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1285751107 |
| PAC ID by PECOS | 6406049840 |
| Professional Enrollment ID | I20101019000224 |
| Full Name | Mark D Herndon |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Address |
1012 Medical Ridge Rd Clinton SC 29325-4542 |
| Phone Number | 8648333852 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8325950983 |
| Number of Group Practice Members | 1439 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110032 | STEPHENS COUNTY HOSPITAL |
| 420038 | GHS LAURENS COUNTY MEMORIAL HOSPITAL |
| 111336 | MOUNTAIN LAKES MEDICAL CENTER |
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| 110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 331 Ridgecrest Circle, Clayton, AL 30525-4186 | 7067824233 | INMED CLINICAL SERVICES |
| 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 8648333852 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Physicians | 1371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Edge Thomas | Nurse Practitioner | Prisma Health University Medical Group | 9100 Hwy 14, Gray Court, SC 29645-4152 |
| Shiven S Patel | Allergy/immunology | Prisma Health University Medical Group | 10 Halton Green Way, Greenville, SC 29607-6606 |
| Jamie C Goodman | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Karyn Marie Dyehouse | Medical Oncology | Prisma Health University Medical Group | 131 Lila Doyle Dr, Seneca, SC 29672-9495 |
| Doris A Best | Family Medicine | Prisma Health University Medical Group | 3551 A Rutherford Rd, Taylors, SC 29687-2195 |
| Elizabeth Ann Lacy | Nurse Practitioner | Prisma Health University Medical Group | 106 John St, Easley, SC 29640-1415 |
| Rebecca Anne Frost | Psychiatry | Prisma Health University Medical Group | 109 Physicians Dr, Suite B, Greer, SC 29650-2446 |
| Elizabeth Van Huffel Dray | Urology | Prisma Health University Medical Group | 11 Park Creek Dr, University Medical Group, Greenville, SC 29605-4268 |
| Jonathan Douglas Hufford | Obstetrics/gynecology | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
| Nathan Michael Moroski | Sports Medicine | Prisma Health University Medical Group | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4545 |
| Street Address |
1012 MEDICAL RIDGE RD |
| City | CLINTON |
| State | SC |
| Zip | 29325-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Marshall | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Samuel Mayhew Wilson | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Carter Jameson Mccormack | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| 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 |
| Dylan Michael Carlisle | Podiatry | Foot Clinic of South Carolina LLC | 1073 Medical Ridge Rd, Suite 2, Clinton, SC 29325-4542 |
| Find all physicians in zip 29325 | |||
| City | CLINTON |
| Zip Code | 29325 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CLINTON + GENERAL SURGERY |
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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.