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PCMH Recognized Practices and Physicians August 2014 Practice Name Physician Last Name Physician First Name Phone Number Street Address City Recognition Seal Recognition Level Beginning Recognition Date Ending Recognition Date Credential File Creation Date Practice Specialty AnMed Health - Anderson Family Medicine Beben Katherine 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 8/1/2014 Gen/Fam Practice AnMed Health - Anderson Family Medicine Cianciolo Amy 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 8/1/2014 Gen/Fam Practice AnMed Health - Anderson Family Medicine Kiang Hui Tzu 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 DO 8/1/2014 Gen/Fam Practice AnMed Health - Lakeside Family Medicine Boyer Elizabeth 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 8/1/2014 Gen/Fam Practice AnMed Health - Lakeside Family Medicine Franks Melody 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 8/1/2014 Gen/Fam Practice AnMed Health - Lakeside Family Medicine Moore Justin 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 8/1/2014 Gen/Fam Practice AnMed Health Children's Health Center Bradford Nathan (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics AnMed Health Children's Health Center Clark Deandra (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics AnMed Health Children's Health Center Jain Ruchika (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics AnMed Health Children's Health Center Sizemore Kent (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics AnMed Health Children's Health Center Sohn Jae (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics AnMed Health Family Medicine Residency Program Abercrombie Stoney (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice AnMed Health Family Medicine Residency Program Bradford Nathan (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Pediatrics AnMed Health Family Medicine Residency Program Clemow Christopher (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice
Transcript
Page 1: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

PCMH Recognized Practices and Physicians August 2014

Practice Name

Physician

Last Name

Physician

First Name Phone Number Street Address City Recognition Seal

Recognition

Level

Beginning

Recognition Date

Ending

Recognition

Date Credential

File Creation

Date Practice Specialty

AnMed Health - Anderson Family Medicine Beben Katherine 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 8/1/2014 Gen/Fam Practice

AnMed Health - Anderson Family Medicine Cianciolo Amy 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 8/1/2014 Gen/Fam Practice

AnMed Health - Anderson Family Medicine Kiang Hui Tzu 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 DO 8/1/2014 Gen/Fam Practice

AnMed Health - Lakeside Family Medicine Boyer Elizabeth 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 8/1/2014 Gen/Fam Practice

AnMed Health - Lakeside Family Medicine Franks Melody 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 8/1/2014 Gen/Fam Practice

AnMed Health - Lakeside Family Medicine Moore Justin 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 8/1/2014 Gen/Fam Practice

AnMed Health Children's Health Center Bradford Nathan (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics

AnMed Health Children's Health Center Clark Deandra (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics

AnMed Health Children's Health Center Jain Ruchika (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics

AnMed Health Children's Health Center Sizemore Kent (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics

AnMed Health Children's Health Center Sohn Jae (864) 512-3901 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 8/1/2014 Pediatrics

AnMed Health Family Medicine Residency

Program Abercrombie Stoney (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Bradford Nathan (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Pediatrics

AnMed Health Family Medicine Residency

Program Clemow Christopher (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

Page 2: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

AnMed Health Family Medicine Residency

Program Clemow Diana (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Cline Matthew (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Cook Anne (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Internal Medicine

AnMed Health Family Medicine Residency

Program Counts Scott (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Davis Amanda (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Grimsley William (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Mcelwee Joseph (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Miranda Susan (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Osburn George (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Internal Medicine

AnMed Health Family Medicine Residency

Program Sanders Caroline (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

AnMed Health Family Medicine Residency

Program Young Natawadee (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014 MD 8/1/2014 Gen/Fam Practice

Cornerstone Family Medicine Cox Kimberly (864) 261-8000 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 NP 8/1/2014 Gen/Fam Practice Family Practice

Cornerstone Family Medicine Dorn James (864) 261-8000 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 NP 8/1/2014 Gen/Fam Practice Family Practice

Page 3: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Cornerstone Family Medicine Keizer Rick (864) 261-8000 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 MD 8/1/2014 Gen/Fam Practice Family Practice

Cornerstone Family Medicine Kyle David (864) 261-8000 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 MD 8/1/2014 Gen/Fam Practice Family Practice

Cornerstone Family Medicine Mccann David (864) 261-8000 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 MD 8/1/2014 Gen/Fam Practice Family Practice

Barnwell Family Medicine Croft Justin (803) 259-5762 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 PA 8/1/2014 Gen/Fam Practice

Barnwell Family Medicine Gibson Henry (803) 259-5762 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 MD 8/1/2014 Gen/Fam Practice

Barnwell Family Medicine Glover Vickie (803) 259-5762 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 PA 8/1/2014 Gen/Fam Practice

Barnwell Family Medicine Koukos Dean (803) 259-5762 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 DO 8/1/2014 Gen/Fam Practice

Barnwell Family Medicine Ky Mol (803) 259-5762 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 DO 8/1/2014 Gen/Fam Practice

Barnwell Family Medicine Metcalf Erin (803) 259-5762 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 PA 8/1/2014 Gen/Fam Practice

Barnwell Family Medicine Toomer Catherine (803) 259-5762 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 MD 8/1/2014 Gen/Fam Practice

Family Physicians of Boiling Springs Baugh Jennifer (864) 560-3650 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Family Physicians of Boiling Springs Bingham Marc (864) 560-3650 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Family Physicians of Boiling Springs CANNON MATTHEW (864) 560-3650 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 DO 8/1/2014 Gen/Fam Practice

Family Physicians of Boiling Springs Gibson Gregory (864) 560-3650 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Page 4: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Primary Care Physicians- Bonneau Brehmer Sandra (843) 825-3404 1401 Main Street Bonneau PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Bonneau Price Beth (843) 825-3404 1401 Main Street Bonneau PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Bonneau Rodgers David (843) 825-3404 1401 Main Street Bonneau PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Edisto - Dr. William O'Quinn Primary Care Oquinn William (803) 274-8400 215 Dorange Road Branchville PCMH 3 7/12/2014 7/12/2017 MD 8/1/2014 Gen/Fam Practice

Edisto - Dr. William O'Quinn Primary Care Terry Kim (803) 274-8400 215 Dorange Road Branchville PCMH 3 7/12/2014 7/12/2017 PA 8/1/2014 Gen/Fam Practice

Brookland Cayce Medical Practice Arora Sri 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 8/1/2014 Internal Medicine

Brookland Cayce Medical Practice Coleman Tonna 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 8/1/2014 Gen/Fam Practice

Brookland Cayce Medical Practice Davis Deborah 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 8/1/2014 Obstetrics/Gynecology

Brookland Cayce Medical Practice Garner Tabitha 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 NP 8/1/2014 Gen/Fam Practice

Brookland Cayce Medical Practice Jones Kadijah 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 8/1/2014 Gen/Fam Practice

Coastal Pediatric Associates - West Ashley Alberg Laura (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Beck Leigh Arden (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 NP 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Clifford Robert (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Domm Kathleen (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Page 5: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Coastal Pediatric Associates - West Ashley Graham William (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Huncik Kara (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Lee Franklin (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Milliron Elizabeth (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Porcher Frances (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Singh Sonia (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Stripling Stephen (843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - West Ashley Thelan Elizabeth (Mary)(843) 573-2535 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 NP 8/1/2014 Pediatrics

Hugh D Durrence, MD, PC Durrence Hugh (843) 795-5362 418 Folly Rd Charleston PPC-PCMH 1 2/29/2012 2/28/2015 MD 8/1/2014 Gen/Fam Practice

Medical University of South Carolina University

Internal Medicine Brownfield Elisha (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

Medical University of South Carolina University

Internal Medicine Brzezinski Walter (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

Medical University of South Carolina University

Internal Medicine Cave Courtney (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

Medical University of South Carolina University

Internal Medicine Fox Donald (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

Medical University of South Carolina University

Internal Medicine Keith Brad (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

Page 6: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Medical University of South Carolina University

Internal Medicine Lichtenstein Leonard (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

Medical University of South Carolina University

Internal Medicine Wiley Maria (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

Medical University of South Carolina University

Internal Medicine Wong Jeffrey (843) 876-0930 135 Rutledge Ave Charleston PPC-PCMH 3 10/31/2011 10/31/2014 MD 8/1/2014 Internal Medicine

MUSC Department of Family Medicine Chessman Alexander (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Decastro Alexei (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Diaz Vanessa (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Garr David (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Hainer Barry (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Hebbar Airody (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Jain Aparna (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Kaur Dipinpreet (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Matheson Eric (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Mims Lisa (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Ornstein Steven (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

Page 7: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

MUSC Department of Family Medicine Player Marty (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Department of Family Medicine Porter Maribeth (843) 876-7110 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Physicians Primary Care - Internal

Medicine Peninsula Akhtar Jeffrey (843) 792-6500 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 DO 8/1/2014 Internal Medicine

MUSC Physicians Primary Care - Internal

Medicine Peninsula Campbell Jeanne (843) 792-6500 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

MUSC Physicians Primary Care - Internal

Medicine Peninsula Kyle Maryellen (843) 792-6500 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

MUSC Physicians Primary Care - Internal

Medicine Peninsula McNulty Samuel (843) 792-6500 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

MUSC Physicians Primary Care - West Ashley

Internal Hernandez Antonio 2125 Charlie Hall Blvd. Ste. 2A Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

MUSC Physicians Primary Care - West Ashley

Internal Santiago Rica 2125 Charlie Hall Blvd. Ste. 2A Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

MUSC Physicians Primary Care - West Ashley

Internal Schultze Jeffrey 2125 Charlie Hall Blvd. Ste. 2A Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

Palmetto Primary Care Physicians - Trolley Bolster D (843) 851-2000 201 Oakbrook Lane Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Internal Medicine

Palmetto Primary Care Physicians - Trolley Grossman Colby (843) 851-2000 201 Oakbrook Lane Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Internal Medicine

Palmetto Primary Care Physicians - Trolley Reeves Tracy (843) 851-2000 201 Oakbrook Lane Charleston PCMH 3 8/13/2013 8/13/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Appian Way Edwards Matthew (843) 552-0400 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Appian Way Harmon Elizabeth (843) 552-0400 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014

Page 8: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Primary Care Physicians- Appian Way Jordan Beverly (843) 552-0400 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014

Palmetto Primary Care Physicians- Appian Way Redwine John (843) 552-0400 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Chesnee Center for Family Medicine Warren Petra (864) 461-4951 230 S. Alabama Ave. Chesnee PPC-PCMH 3 2/7/2012 2/7/2015 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Columbia Soto Carlos (803) 256-1511 3930 Devine Street Columbia PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Northeast Location Pridgen Kaoru (803) 773-5227 11 Gateway Corners Park Columbia PCMH 3 5/13/2014 5/13/2017 MD 8/1/2014 Gen/Fam Practice

Five Points Pediatrics Kayse Mary 1228 Harden Street Columbia PCMH 3 2/6/2013 2/6/2016 PNP 8/1/2014

Five Points Pediatrics Lofton Kiersten 1228 Harden Street Columbia PCMH 3 2/6/2013 2/6/2016 MD 8/1/2014 Pediatrics

Five Points Pediatrics McCutcheon Monica 1228 Harden Street Columbia PCMH 3 2/6/2013 2/6/2016 MD 8/1/2014 Pediatrics

Midlands Internal Medicine Massey Jean (803) 462-9210 115 Blarney Drive Columbia PCMH 3 10/30/2013 1/30/2016 ANP 8/1/2014 Internal Medicine

Midlands Internal Medicine Patel Nitin (803) 462-9210 115 Blarney Drive Columbia PCMH 3 10/30/2013 1/30/2016 MD 8/1/2014 Internal Medicine

Midlands Internal Medicine Robinson William (803) 462-9210 115 Blarney Drive Columbia PCMH 3 10/30/2013 1/30/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Anderson Iii, William (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Carter Charles (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Elliott Samuel (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Page 9: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Greenhouse David (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Hall Jeffrey (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Hernandez Johan (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Jenkinson David (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 DO 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Keisler Brian (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Lamar Charles (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Mann Joshua (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Other – not listed

Palmetto Family Medicine Center/Univ of South

Carolina DFPM MAYEAUX EDWARD (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Platt Tan (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Stacy Jason (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Strayer Scott (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Waleh Meshia (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Family Medicine Center/Univ of South

Carolina DFPM Witherspoon Patricia (803) 434-2486 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Atrium Ridge Bell Gary (803) 699-9992 11 Atrium Ridge Court Columbia PCMH 3 10/17/2013 7/22/2015 MD 8/1/2014 Internal Medicine

Page 10: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Health Atrium Ridge Rouse Kelle (803) 699-9992 11 Atrium Ridge Court Columbia PCMH 3 10/17/2013 7/22/2015 MD 8/1/2014 Internal Medicine

Palmetto Health Northeast Family Practice Augustine Melissa (803) 736-6262 115 Blanrney Drive Columbia PCMH 3 8/18/2013 8/18/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Northeast Family Practice Dicesare Jaclyn (803) 736-6262 115 Blanrney Drive Columbia PCMH 3 8/18/2013 8/18/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Northeast Family Practice Fitzgibbon Rodney (803) 736-6262 115 Blanrney Drive Columbia PCMH 3 8/18/2013 8/18/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Senior Primary Care Farrow

Road Boston Tisha (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014

Palmetto Health Senior Primary Care Farrow

Road Gajadhar Rachelle (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014 Geriatric Medicine

Palmetto Health Senior Primary Care Farrow

Road Hirth Victor (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014 Internal Medicine

Palmetto Health Senior Primary Care Farrow

Road Matthews Margaret (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014 Internal Medicine

Palmetto Health Senior Primary Care Farrow

Road Mattocks Karen (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Senior Primary Care Farrow

Road Maylath Craig (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014

Palmetto Health Senior Primary Care Farrow

Road Steen Christian (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014

Palmetto Health Senior Primary Care Farrow

Road Steen Jamee (803) 434-1210 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 8/1/2014

Palmetto Health Senior Primary Care Parkridge Leone Andres (803) 434-4700 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Senior Primary Care Parkridge Maylath Craig (803) 434-4700 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Gen/Fam Practice

Page 11: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Health Senior Primary Care Parkridge Naik Prexa (803) 434-4700 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Senior Primary Care Parkridge Roque NazarioElaine (803) 434-4700 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Health-First Care Izard Stephen (803) 436-2530 2406 Decker blvd Columbia PCMH 2 5/1/2014 5/1/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-First Care Masters Kim (803) 436-2530 2406 Decker blvd Columbia PCMH 2 5/1/2014 5/1/2017 NP 8/1/2014 Other – not listed

Palmetto Health-First Care Young Stewart (803) 436-2530 2406 Decker blvd Columbia PCMH 2 5/1/2014 5/1/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Health-Parkridge Medical Associates Birdsong Claire (803) 749-0693 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Health-Parkridge Medical Associates Hutto Eric (803) 749-0693 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Health-Parkridge Medical Associates Millwood Charles (803) 749-0693 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Health-Parkridge Medical Associates Torres Carlos (803) 749-0693 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Health-Three Rivers Medical

Associates Taylor Allison James (803) 799-1922 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Taylor Goldstein Francis (803) 799-1922 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Taylor Gould John (803) 799-1922 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 DO 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Taylor Head Patricia (803) 799-1922 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 NP 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Taylor Huffman Leroy (803) 799-1922 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Page 12: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Health-Three Rivers Medical

Associates Taylor Nairn Dana (803) 799-1922 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Taylor Toliver-Dingle Peggy (803) 799-1922 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Sandhills Pediatrics - Main Ledlie Laura (803) 252-1816 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Main Rickenmann Laura (803) 252-1816 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Main Taylor William (803) 252-1816 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Main Wesssinger Kevin (803) 252-1816 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Main Willard William (803) 252-1816 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Northeast DuBose Theodore (803) 252-1816 110 Summit Centre Drive Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Northeast Finch Michael (803) 252-1816 110 Summit Centre Drive Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Northeast Haile Elizabeth (803) 252-1816 110 Summit Centre Drive Columbia PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

South Hampton Family Practice Hester Brabham (803) 695-5450 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 8/1/2014 Gen/Fam Practice

South Hampton Family Practice Hester Martha (803) 695-5450 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 8/1/2014 Gen/Fam Practice

South Hampton Family Practice Risinger Sharon (803) 695-5450 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 8/1/2014 Gen/Fam Practice

South Hampton Family Practice Shumpert Evelynne (803) 695-5450 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 NP 8/1/2014 Gen/Fam Practice

Page 13: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

South Hampton Family Practice Williams Mary (803) 695-5450 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 8/1/2014 Gen/Fam Practice

University Family Medicine Hernandez Johan (803) 419-6334 4311 Hardscrabble Road Columbia PCMH 3 8/10/2013 8/10/2016 MD 8/1/2014 Gen/Fam Practice

University Family Medicine Varughese Beena (803) 419-6334 4311 Hardscrabble Road Columbia PCMH 3 8/10/2013 8/10/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Daniel

Island Office Austin Christin (843) 856-6402 900 Island Park Drive Daniel Island PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Daniel

Island Office Davis Lucy (843) 856-6402 900 Island Park Drive Daniel Island PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Daniel

Island Office Spicer Leigh (843) 856-6402 900 Island Park Drive Daniel Island PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians at 290 Adams-HudsonBrenda (864) 560-3500 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians at 290 Gragg James (864) 560-3500 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians at 290 Kucaba Walter (864) 560-3500 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 DO 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians at 290 Lucarelli Richard (864) 560-3500 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 DO 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians at 290 Shaikh Huneiza (864) 560-3500 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians at 290 Tanbonliong Michael (864) 560-3500 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Foothills Internal Medicine Harding Lisa (864) 855-1331 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 8/1/2014 Internal Medicine

Foothills Internal Medicine Holton Geanice (864) 855-1331 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 8/1/2014 Internal Medicine

Page 14: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Foothills Internal Medicine Snipes Calvin (864) 855-1331 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 8/1/2014 Internal Medicine

Foothills Internal Medicine Swiger Barry (864) 855-1331 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 8/1/2014 Internal Medicine

Low Country Health Care System, Inc. Ayers Bobbie (803) 632-2533 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 8/1/2014 Gen/Fam Practice

Low Country Health Care System, Inc. Boyles Richard (803) 632-2533 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 8/1/2014 Gen/Fam Practice

Low Country Health Care System, Inc. Gibbons Jory (803) 632-2533 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 PA 8/1/2014 Gen/Fam Practice

Low Country Health Care System, Inc. McCormack Kerin (803) 632-2533 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 PA 8/1/2014 Gen/Fam Practice

Low Country Health Care System, Inc. Mckissick Janet (803) 632-2533 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 8/1/2014 Gen/Fam Practice

Low Country Health Care System, Inc. Moskow Abe (803) 632-2533 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 8/1/2014 Gen/Fam Practice

HopeHealth - Cherokee Chokshi Brinda (843) 656-0363 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 8/1/2014 Internal Medicine

HopeHealth - Cherokee Culpepper David (843) 656-0363 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 8/1/2014 Internal Medicine

HopeHealth - Cherokee Lyles Kelly (843) 656-0363 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 8/1/2014 Internal Medicine

HopeHealth - Cherokee Prigg-Kozacki Krista (843) 656-0363 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 8/1/2014 Gen/Fam Practice

HopeHealth - FMU DeMarco Paul (843) 656-0363 121 S. Evander Drive Florence PCMH 3 6/9/2014 6/9/2017 MD 8/1/2014 Internal Medicine

HopeHealth - Palmetto Barrineau Patricia (843) 656-0363 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 MD 8/1/2014 Internal Medicine

Page 15: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

HopeHealth - Palmetto Browning Gregory (843) 656-0363 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 MD 8/1/2014 Gen/Fam Practice

HopeHealth - Palmetto Hanna Brian (843) 656-0363 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 MD 8/1/2014 Gen/Fam Practice

HopeHealth - Palmetto Mitchell Mary (843) 656-0363 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 NP 8/1/2014 Gen/Fam Practice

HopeHealth - Palmetto Nwankudu Nwada (843) 656-0363 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 NP 8/1/2014 Gen/Fam Practice

CHS - Shiland Family Medicine- Fort Mill Pope Brian (803) 835-0420 704 Gold Hill Road Fort Mill PPC-PCMH 3 1/8/2012 1/8/2015 MD 8/1/2014 Gen/Fam Practice

CHS - Shiland Family Medicine- Fort Mill Truesdale Dorenda (803) 835-0420 704 Gold Hill Road Fort Mill PPC-PCMH 3 1/8/2012 1/8/2015 MD 8/1/2014 Gen/Fam Practice

CHS - Shiland Family Medicine- Fort Mill Ward Joyce (803) 835-0420 704 Gold Hill Road Fort Mill PPC-PCMH 3 1/8/2012 1/8/2015 MD 8/1/2014

Novant Health Barnhill Family Medicine Barnhill Herbert (864) 489-8168 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Novant Health Limestone Family Medicine Thompson Lori (864) 487-4451 104 Professional Park Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Novant Health Peachview Family Medicine Bland Susan (864) 489-2400 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Novant Health Peachview Family Medicine Morgan Donald (864) 489-2400 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Novant Health Peachview Family Medicine Nelson Doshandra (864) 488-1400 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Novant Health Peachview Family Medicine Ruffing Richard (864) 488-1400 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Novant Health Peachview Family Medicine Stroup Charles (864) 489-2400 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Page 16: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Spartanburg Regional Physicians Group -

Cherokee Family Medicine of Gaffney Kaemmerlen Robert (864) 489-3300 1341 North Limestone Street Gaffney PPC-PCMH 3 6/19/2012 6/19/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Cherokee Family Medicine of Gaffney Nazareno Marilu (864) 489-3300 1341 North Limestone Street Gaffney PPC-PCMH 3 6/19/2012 6/19/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Internal Medicine Associates of Gaffney DALE MICHAEL (864) 487-7186 139 Medical Center Drive Gaffney PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Internal Medicine Associates of Gaffney Jones Douglas (864) 487-7186 139 Medical Center Drive Gaffney PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Internal Medicine Associates of Gaffney KLICKMAN HOWARD (864) 487-7186 139 Medical Center Drive Gaffney PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

St. James Santee Family Health Center -

Choppee site Cooper Jane (843) 545-8723 8189 Choppee Rd Georgetown PCMH 1 3/2/2014 3/2/2017 FNP 8/1/2014 Gen/Fam Practice

St. James Santee Family Health Center -

Choppee site Daniels Alfred (843) 545-8723 8189 Choppee Rd Georgetown PCMH 1 3/2/2014 3/2/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Crowfield

Office Redmond Josephine Walker(843) 553-4383 7 S. Alliance Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Crowfield

Office Stauffer Jack (843) 553-4383 7 S. Alliance Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Crowfield

Office Sutterlin John (843) 553-4383 7 S. Alliance Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Goose

Creek Office Viduya Sherry (843) 574-0060 105-A Springhall Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Goose

Creek Office Yerich Caroline (843) 574-0060 105-A Springhall Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Springhall Alford Diana (843) 266-2520 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Springhall Campbell Patricia (843) 266-2520 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Page 17: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Primary Care Physicians - Springhall Irwin Cheryl (843) 266-2520 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Springhall Tucker William (843) 266-2520 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Hanlin Robert (864) 455-9022 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine MacDonald Allan (864) 455-9022 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Mattox Lisa (864) 455-9022 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Stone Terrell (864) 455-9022 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Swartz Jeffery (864) 455-9022 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 8/1/2014 Gen/Fam Practice

Center for Pediatric Medicine - Center for

Pediatric Medicine Buchanan April (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Catalana Paul (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Other – not listed

Center for Pediatric Medicine - Center for

Pediatric Medicine DAVIDS LOCHRANE (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Godlewski Janelle (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Golden Jill (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Henderson Nancy (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Other – not listed

Center for Pediatric Medicine - Center for

Pediatric Medicine Hudson Jennifer (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Page 18: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Center for Pediatric Medicine - Center for

Pediatric Medicine Kolarik Russ (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Kramer Allison (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 NP 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Maurer Joseph (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Okelly Amanda (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Patterson Doreen (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Saul Robert (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Center for

Pediatric Medicine Sease Kerry (864) 220-7270 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Pediatric Rapid

Access Hill James (864) 220-8909 57 Cross Park Court Greenville PCMH 3 5/1/2014 5/1/2017 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - Pediatric Rapid

Access Kanipe Susan (864) 220-8909 57 Cross Park Court Greenville PCMH 3 5/1/2014 5/1/2017 FNP 8/1/2014 Gen/Fam Practice

Center for Pediatric Medicine - Pediatric Rapid

Access Tyson Elizabeth (864) 220-8909 57 Cross Park Court Greenville PCMH 3 5/1/2014 5/1/2017 MD 8/1/2014 Pediatrics

Internal Medicine Clinic Byrd Jeremy (864) 455-8929 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 8/1/2014 Internal Medicine

Internal Medicine Clinic Dendy Nannette (864) 455-8929 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 8/1/2014 Internal Medicine

Internal Medicine Clinic Jindal Meenu (864) 455-8929 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 8/1/2014 Internal Medicine

Internal Medicine Clinic Kalema Anna (864) 455-8929 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 8/1/2014

Page 19: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Internal Medicine Clinic Kolarik Russ (864) 455-8929 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 8/1/2014 Pediatrics

Internal Medicine Clinic Patel Bhumika (864) 455-8929 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 8/1/2014

Internal Medicine Clinic Wess Mark (864) 455-8929 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 8/1/2014 Internal Medicine

Milestone Family Medicine Bennett Laine (864) 297-6010 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 FNP 8/1/2014 Gen/Fam Practice

Milestone Family Medicine Bridgeman, Jr. James (864) 297-6010 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 8/1/2014 Gen/Fam Practice

Milestone Family Medicine Derosa Joseph (864) 297-6010 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 8/1/2014 Gen/Fam Practice

Milestone Family Medicine Leland, Jr. Richard (864) 297-6010 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 8/1/2014 Gen/Fam Practice

Milestone Family Medicine Melba John (864) 297-6010 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 8/1/2014 Gen/Fam Practice

Milestone Family Medicine Pollard Jessica (864) 297-6010 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 8/1/2014 Gen/Fam Practice

Milestone Family Medicine Wallace James (864) 297-6010 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 8/1/2014 Gen/Fam Practice

Poinsett Family Practice Murphy David (864) 271-9773 2 Innovation Dr Suite 120 Greenville PCMH 2 1/2/2013 1/2/2016 MD 8/1/2014 Gen/Fam Practice

Poinsett Family Practice Newman Steven (864) 271-9773 2 Innovation Dr Suite 120 Greenville PCMH 2 1/2/2013 1/2/2016 MD 8/1/2014 Gen/Fam Practice

Poinsett Family Practice Torres Vincent (864) 271-9773 2 Innovation Dr Suite 120 Greenville PCMH 2 1/2/2013 1/2/2016 DO 8/1/2014 Gen/Fam Practice

Premier Family Medicine Benson Kathryn (864) 286-9050 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 1/20/2015 FNP 8/1/2014

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Premier Family Medicine Cecil Lindsey (864) 286-9050 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 1/20/2015 MD 8/1/2014 Gen/Fam Practice

Premier Family Medicine Hudson James (864) 286-9050 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 1/20/2015 MD 8/1/2014 Gen/Fam Practice

Premier Family Medicine King Elizabeth (864) 286-9050 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 1/20/2015 FNP 8/1/2014

Premier Family Medicine Lombardi Milena (864) 286-9050 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 1/20/2015 DO 8/1/2014 Gen/Fam Practice

Woodward Medical Center Bizzell Stacy (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Woodward Medical Center Faris, jR. Henry (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Woodward Medical Center Fridy W (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Woodward Medical Center Gildersleeve Merrill (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Woodward Medical Center Horton Miranda (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Woodward Medical Center Lacy John (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Woodward Medical Center Naidu Raana (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Gen/Fam Practice

Woodward Medical Center Treas April (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Woodward Medical Center Vry John (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Gen/Fam Practice

Woodward Medical Center Watson K (864) 370-8339 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 8/1/2014 Internal Medicine

Page 21: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

The Childrens Center Bonetti Juan (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 8/1/2014 Pediatrics

The Childrens Center Feole Glenn (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 8/1/2014 Pediatrics

The Childrens Center Harrison Melodie (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 8/1/2014 Pediatrics

The Childrens Center O'DELL ANGELA (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 FNP 8/1/2014 Pediatrics

The Childrens Center Platt Cheryl (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 PNP 8/1/2014 Pediatrics

The Childrens Center Walston Amber (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 NP 8/1/2014 Pediatrics

The Childrens Center Whitley Vernon (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 8/1/2014 Pediatrics

The Childrens Center Wulfekotte Brenda (864) 941-8170 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 FNP 8/1/2014 Pediatrics

Doctors Family Medicine Chappell Michael (864) 877-4221 3115D Brushy Creek Rd Greer PCMH 3 11/27/2013 11/27/2016 MD 8/1/2014 Gen/Fam Practice

Doctors Family Medicine Hester Benjamin (864) 877-4221 3115D Brushy Creek Rd Greer PCMH 3 11/27/2013 11/27/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Phyiscians- Hampton Egan Christopher (803) 943-3813 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Phyiscians- Hampton Rivers Celine (803) 943-3813 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Phyiscians- Hampton Vega Luis (803) 943-3813 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Phyiscians- Hampton Vega Rosita (803) 943-3813 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 MD 8/1/2014 Pediatrics

Page 22: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Colonial Family Practice - Hartsville Location Long William 420 West Carolina Avenue Hartsville PCMH 3 5/13/2014 5/13/2017 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Hartsville Location Ropp John 420 West Carolina Avenue Hartsville PCMH 3 5/13/2014 5/13/2017 MD 8/1/2014 Gen/Fam Practice

Edisto - Family Practice Associates of Holly Hill Allie Adam (803) 496-3312 187 Bunch Ford Road Holly Hill PCMH 2 7/9/2014 7/9/2017 MD 8/1/2014 Gen/Fam Practice

Edisto - Family Practice Associates of Holly Hill Bennett Antionette (803) 496-3312 187 Bunch Ford Road Holly Hill PCMH 2 7/9/2014 7/9/2017 MD 8/1/2014 Gen/Fam Practice

Edisto - Family Practice Associates of Holly Hill Simons Constance (803) 496-3312 187 Bunch Ford Road Holly Hill PCMH 2 7/9/2014 7/9/2017 FNP 8/1/2014

CHS Barnett Family Practice - Carolina Lakes Baker Kacie (803) 283-2011 7666 Charlotte Highway Indian Land PPC-PCMH 3 11/4/2011 11/4/2014 PA 8/1/2014

CHS Barnett Family Practice - Carolina Lakes Furse James (803) 283-2011 7666 Charlotte Highway Indian Land PPC-PCMH 3 11/4/2011 11/4/2014 MD 8/1/2014 Gen/Fam Practice

CHS Barnett Family Practice - Carolina Lakes Harris Tami (803) 283-2011 7666 Charlotte Highway Indian Land PPC-PCMH 3 11/4/2011 11/4/2014 MD 8/1/2014 Gen/Fam Practice

CHS Barnett Family Practice - Carolina Lakes Hillman Jason (803) 283-2011 7666 Charlotte Highway Indian Land PPC-PCMH 3 11/4/2011 11/4/2014 DO 8/1/2014 Gen/Fam Practice

CHS Barnett Family Practice - Carolina Lakes Morris William (803) 283-2011 7666 Charlotte Highway Indian Land PPC-PCMH 3 11/4/2011 11/4/2014 MD 8/1/2014 Gen/Fam Practice

Novant Health Indian Land Primary Care Thomas William (803) 548-9393 7580 Charlotte Highway Indian Land PPC-PCMH 3 9/1/2012 9/1/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Inman Family Practice Esposito Patrick (864) 472-2144 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Inman Family Practice Hudson Joy (864) 472-2144 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Inman Family Practice Kaur Poonaminder (864) 472-2144 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Page 23: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Spartanburg Regional Physicians Group -

Inman Family Practice Rop Timothy (864) 472-2144 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Inman Family Practice Taylor Benjamin (864) 472-2144 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gastroenterology

Palmetto Health-Three Rivers Medical

Associates Irmo Abdulrahman Amjad (803) 432-4001 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Irmo Bridgers David (803) 432-4001 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Other – not listed

Palmetto Health-Three Rivers Medical

Associates Irmo Browning Rosalie (803) 432-4001 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Irmo Hite Louis (803) 432-4001 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Irmo Holmes Louise (803) 432-4001 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 NP 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Irmo Patrick Elizabeth (803) 432-4001 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 8/1/2014 Internal Medicine

Palmetto Health-Three Rivers Medical

Associates Irmo Schumacher Sarah (803) 432-4001 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 DO 8/1/2014 Gen/Fam Practice

Sandhills Pediatrics - Dutch Fork O’Leary Melinda (803) 252-1816 7941 Broad River Road Irmo PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Dutch Fork Todd Marc (803) 252-1816 7941 Broad River Road Irmo PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Dutch Fork Whitaker Robert (803) 252-1816 7941 Broad River Road Irmo PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Medical Foundation Inc. - Jefferson

Medical Office Maxwell Crystal (843) 658-3005 409 E Church St Jefferson PCMH 3 7/24/2013 7/24/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians-Lake City Atkinson Ernest (843) 374-3621 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 8/1/2014 Gen/Fam Practice

Page 24: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Primary Care Physicians-Lake City Ellis Richard (843) 374-3621 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians-Lake City Lamb Benjamin (843) 374-3621 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians-Lake City Mims Albert (843) 374-3621 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 8/1/2014 Gen/Fam Practice

CaroMont Medical Group-CFM Lake Wylie Bechtel Mark (704) 671-7441 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 DO 8/1/2014 Gen/Fam Practice

CaroMont Medical Group-CFM Lake Wylie Burns Kristen (704) 671-7441 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 FNP 8/1/2014 Gen/Fam Practice

CaroMont Medical Group-CFM Lake Wylie McShea Joseph (704) 671-7441 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 DO 8/1/2014 Gen/Fam Practice

CaroMont Medical Group-CFM Lake Wylie Pritchett Pamela (704) 671-7441 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 FNP 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians of Landrum Bridges Kimberly (864) 457-3838 133 North Howard Avenue Landrum PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians of Landrum Nash Erin (864) 457-3838 133 North Howard Avenue Landrum PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Family Physicians of Landrum Walter Cornelius (864) 457-3838 133 North Howard Avenue Landrum PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Lakeview Family Medicine Harman William (803) 358-1191 1316 North Lake Drive Lexington PCMH 3 10/17/2013 11/21/2015 MD 8/1/2014 Gen/Fam Practice

Palmetto Health Lakeview Family Medicine Taylor Scarlet (803) 358-1191 1316 North Lake Drive Lexington PCMH 3 10/17/2013 11/21/2015 MD 8/1/2014 Gen/Fam Practice

Sandhills Pediatrics - Lexington Cope Bruce (803) 252-1816 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Lexington Powell Katherine (803) 252-1816 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Page 25: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Sandhills Pediatrics - Lexington Smith Leah Lane (803) 252-1816 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Sandhills Pediatrics - Lexington Thomas Christie (803) 252-1816 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 8/1/2014 Pediatrics

Twelve Mile Creek Family Medicine Wallace Timothy (803) 356-3609 4711 Sunset Boulevard Lexington PCMH 2 11/19/2012 11/19/2015 DO 8/1/2014 Gen/Fam Practice

Twelve Mile Creek Family Medicine Wenner Allen (803) 356-3609 4711 Sunset Boulevard Lexington PCMH 2 11/19/2012 11/19/2015 MD 8/1/2014 Gen/Fam Practice

Twelve Mile Creek Family Medicine Williams James (803) 356-3609 4711 Sunset Boulevard Lexington PCMH 2 11/19/2012 11/19/2015 MD 8/1/2014 Gen/Fam Practice

Lugoff Medical Office Alderson Theresa (803) 408-3262

Lugoff Medical Office of Sandhills

Medical Foundation, Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Pediatrics

Lugoff Medical Office Anderson Katherine (803) 408-3262

Lugoff Medical Office of Sandhills

Medical Foundation, Inc Lugoff PCMH 3 7/30/2013 7/30/2016 PA 8/1/2014 Gen/Fam Practice

Lugoff Medical Office Clyburn Karen (803) 408-3262

Lugoff Medical Office of Sandhills

Medical Foundation, Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Gen/Fam Practice

Lugoff Medical Office Minhas Meha (803) 408-3262

Lugoff Medical Office of Sandhills

Medical Foundation, Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Internal Medicine

Lugoff Medical Office Olatosi Akinwale (803) 408-3262

Lugoff Medical Office of Sandhills

Medical Foundation, Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 8/1/2014 Infectious Disease

Lugoff Medical Office Porter Cathy (803) 408-3262

Lugoff Medical Office of Sandhills

Medical Foundation, Inc Lugoff PCMH 3 7/30/2013 7/30/2016 FNP 8/1/2014 Gen/Fam Practice

Lugoff Medical Office Thompson David (803) 408-3262

Lugoff Medical Office of Sandhills

Medical Foundation, Inc Lugoff PCMH 3 7/30/2013 7/30/2016 NP 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Manning Location Aldrich William (803) 773-5227 1036 Professional Court Manning PCMH 3 5/13/2014 5/13/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Moncks

Corner Office Adams Tabatha (843) 761-2815

Palmetto Primary Care Physicians-

Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Page 26: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Palmetto Primary Care Physicians - Moncks

Corner Office Floyd Meredith (843) 761-2815

Palmetto Primary Care Physicians-

Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Moncks

Corner Office Hogue Caisson (843) 761-2815

Palmetto Primary Care Physicians-

Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Moncks

Corner Office Jones Edward (843) 761-2815

Palmetto Primary Care Physicians-

Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Internal Medicine

Palmetto Primary Care Physicians - Moncks

Corner Office Sanchez Amanda (843) 761-2815

Palmetto Primary Care Physicians-

Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Coastal Pediatric Associates - Mount Pleasant Caristi Kimberly (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Garrett Kristen (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 PNP 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Graham William (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Gunselman Mary Jo (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 NP 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Kelley Kathleen (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 PNP 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Kirlis Elizabeth (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Lee Franklin (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Mims Keaton (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 PNP 8/1/2014 Pediatrics

Coastal Pediatric Associates - Mount Pleasant Stripling Stephen (843) 971-2992 1952 Long Grove Drive Mount Pleasant PCMH 3 5/9/2014 5/9/2017 MD 8/1/2014 Pediatrics

East Cooper Primary Care McDonald John (843) 884-6653 1208 Two Island Court Mount Pleasant PCMH 2 2/4/2014 2/4/2017 MD 8/1/2014 Internal Medicine

Page 27: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

East Cooper Primary Care Rubano Judy (843) 884-6653 1208 Two Island Court Mount Pleasant PCMH 2 2/4/2014 2/4/2017 MD 8/1/2014 Internal Medicine

Park West Primary Care Alexander Carrie (843) 876-1445 1113 Park West Blvd. Mount Pleasant PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

Park West Primary Care Lentsch Kristi (843) 876-1445 1113 Park West Blvd. Mount Pleasant PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

MUSC Physicians Primary Care - Midtown

Family Medicine Igbokwe-HamiltonAshleigh 1600 Midtown Avenue Mt. Pleasant PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Gen/Fam Practice

MUSC Physicians Primary Care - Midtown

Family Medicine Perron Gregory 1600 Midtown Avenue Mt. Pleasant PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Gen/Fam Practice

Little River Medical Center, Inc. - Myrtle Beach Garland Thomas (843) 663-8000 7724 N. Kings Highway Myrtle Beach PCMH 2 7/30/2014 7/30/2017 MD 8/1/2014 Gen/Fam Practice

Little River Medical Center, Inc. - Myrtle Beach Lopez Andrea (843) 663-8000 7724 N. Kings Highway Myrtle Beach PCMH 2 7/30/2014 7/30/2017 MD 8/1/2014 Pediatrics

Little River Medical Center, Inc. - Myrtle Beach Nabong-Nillas Maristela (843) 663-8000 7724 N. Kings Highway Myrtle Beach PCMH 2 7/30/2014 7/30/2017 MD 8/1/2014 Pediatrics

Coosaw Primary Care Jenkins Shantae (843) 876-2879 8471 Dorchester Road North Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

Coosaw Primary Care Walsh Lyle (843) 876-2879 8471 Dorchester Road North Charleston PCMH 2 6/25/2014 6/25/2017 MD 8/1/2014 Internal Medicine

Franklin C. Fetter - Enterprise Pediatrics Slaughter Sharvette (843) 747-8893 2047 Comstock Ave North Charleston PCMH 1 12/23/2013 12/23/2016 MD 8/1/2014 Pediatrics

Palmetto Primary Care Physicinas- Trident Arnau Thomas (843) 573-1200 9313 Medical Plaza Dr. Ste 202 North Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicinas- Trident Bolt Thomas (843) 573-1200 9313 Medical Plaza Dr. Ste 202 North Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicinas- Trident Dewhirst Brian (843) 573-1200 9313 Medical Plaza Dr. Ste 202 North Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

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Palmetto Primary Care Physicinas- Trident MacLeod Alison (843) 573-1200 9313 Medical Plaza Dr. Ste 202 North Charleston PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicinas- Trident Thompson Gordon (843) 573-1200 9313 Medical Plaza Dr. Ste 202 North Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicinas- Trident Vandegrift Tara (843) 573-1200 9313 Medical Plaza Dr. Ste 202 North Charleston PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicinas- Trident Varella Robin (843) 573-1200 9313 Medical Plaza Dr. Ste 202 North Charleston PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Edisto - RMC Family Practice - Carolina Avenue Hayden John (803) 531-7474 1619 Carolina Avenue Orangeburg PCMH 3 7/9/2014 7/9/2017 MD 8/1/2014 Gen/Fam Practice

Edisto-RMC Primary Care Village Crickman Sarah (803) 534-4254 1750 Village Park Drive Orangeburg PCMH 2 7/12/2014 7/12/2017 MD 8/1/2014 Gen/Fam Practice

Edisto-RMC Primary Care Village Li Yongxin (803) 534-4254 1750 Village Park Drive Orangeburg PCMH 2 7/12/2014 7/12/2017 MD 8/1/2014 Gen/Fam Practice

RMC Primary Care - Annex Chan Kam (803) 533-0042 1170 Boulevard Orangeburg PCMH 3 7/9/2014 7/9/2017 MD 8/1/2014 Gen/Fam Practice

RMC Primary Care - Annex Dixon Woodward (803) 533-0042 1170 Boulevard Orangeburg PCMH 3 7/9/2014 7/9/2017 MD 8/1/2014 Gen/Fam Practice

RMC Primary Care - Annex Sheppard Melanie (803) 533-0042 1170 Boulevard Orangeburg PCMH 3 7/9/2014 7/9/2017 PA 8/1/2014 Gen/Fam Practice

Singleton Health Center Grossman Margaret (803) 535-3600 1773 Village Park Dr Orangeburg PCMH 2 11/1/2013 11/1/2016 DO 8/1/2014

Singleton Health Center Singleton Monnieque (803) 535-3600 1773 Village Park Dr Orangeburg PCMH 2 11/1/2013 11/1/2016 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Pacolet Family Medicine BISHOP PRESTON (864) 474-1528 7221 South Pine Street Pacolet PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Pacolet Family Medicine Klosterman Kameron (864) 474-1528 7221 South Pine Street Pacolet PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Page 29: PCMH Recognized Practices and Physicians August 2014 Ending … · 2015-12-01 · Program Woodall Hunter (864) 224-8100 2000 East Greenville Street Anderson PPC-PCMH 3 9/22/2011 9/22/2014

Piedmont Family Practice Bruce Jackson (864) 845-3331 115 Beattie Park Rd. Piedmont PCMH 3 11/12/2013 11/12/2015 MD 8/1/2014 Gen/Fam Practice

Piedmont Family Practice Garand Joseph (864) 845-3331 115 Beattie Park Rd. Piedmont PCMH 3 11/12/2013 11/12/2015 MD 8/1/2014 Gen/Fam Practice

Piedmont Family Practice Sloan John (864) 845-3331 115 Beattie Park Rd. Piedmont PCMH 3 11/12/2013 11/12/2015 MD 8/1/2014 Gen/Fam Practice

Beaufort-Jasper-Hampton Comprehensive

Health Services, Inc. Supan Samai (843) 987-7400 P.O. Box 357 Ridgeland PCMH 3 4/14/2014 4/14/2017 MD 8/1/2014 Gen/Fam Practice

Novant Medical Group (5) - Novant Health Rock

Hill Family Medicine Gunter Richard (803) 328-3828 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 8/1/2014 Gen/Fam Practice

Novant Medical Group (5) - Novant Health Rock

Hill Family Medicine Marion Malcolm (803) 328-3828 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 8/1/2014 Gen/Fam Practice

Novant Medical Group (5) - Novant Health Rock

Hill Family Medicine Oehme Stephen (803) 328-3828 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 8/1/2014 Gen/Fam Practice

Novant Medical Group (5) - Novant Health Rock

Hill Family Medicine Tuttle Nicholas (803) 328-3828 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 8/1/2014 Gen/Fam Practice

Novant Medical Group (5) - Novant Health Rock

Hill Family Medicine White George (803) 328-3828 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 8/1/2014 Gen/Fam Practice

Medical Center of Santee Singleton Monnieque (803) 854-3805 500 Bass Drive Santee PCMH 1 6/4/2014 6/4/2017 MD 8/1/2014 Gen/Fam Practice

Hillcrest Family Practice Broker Robert (864) 963-1548 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 8/1/2014 Gen/Fam Practice

Hillcrest Family Practice Ellis Jennifer (864) 963-1548 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 8/1/2014 Gen/Fam Practice

Hillcrest Family Practice Heidt Francis (864) 963-1548 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 8/1/2014 Gen/Fam Practice

Hillcrest Family Practice Johnson Gretchen (864) 963-1548 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 8/1/2014 Gen/Fam Practice

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Hillcrest Family Practice Lewis Katherine (864) 963-1548 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 8/1/2014 Gen/Fam Practice

Hillcrest Family Practice Silkiner David (864) 963-1548 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 8/1/2014 Gen/Fam Practice

Parkside Pediatrics Anderson Erika (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Atkins Caroline (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 PA 8/1/2014 Pediatrics

Parkside Pediatrics Bessom Bethany (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Dobson Scott (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Dukes Daniel (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Hipp Elizabeth (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Jones Stephen (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Moll Justin (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Roemmich Todd (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Parkside Pediatrics Slyder Joyce (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 FNP 8/1/2014 Pediatrics

Parkside Pediatrics Woodlief Rebecca (864) 272-0388 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 8/1/2014 Pediatrics

Simpsonville Family Medicine Dillon Paul (864) 527-8600 1336 Highway 14 Simpsonville PCMH 2 9/17/2013 9/17/2016 MD 8/1/2014 Gen/Fam Practice

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Simpsonville Family Medicine Lopez Alberto (864) 527-8600 1336 Highway 14 Simpsonville PCMH 2 9/17/2013 9/17/2016 MD 8/1/2014 Gen/Fam Practice

Simpsonville Family Medicine Miranda Susan (864) 527-8600 1336 Highway 14 Simpsonville PCMH 2 9/17/2013 9/17/2016 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Village Family Medicine SMITH CHRISTOPHER(864) 849-9170 219 Batesville Rd Simpsonville PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Village Family Medicine Ulmer Enoch (864) 849-9170 219 Batesville Rd Simpsonville PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Bouknight Patricia (864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Boyle Ginger (864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Godenick Mark (864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Houston Robert (864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Januchowski Ronald (864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 DO 8/1/2014 Gen/Fam Practice

Center for Family Medicine Klosterman Scott (864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 DO 8/1/2014 Gen/Fam Practice

Center for Family Medicine McDonald Robert (864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 8/1/2014 Gen/Fam Practice

Center for Family Medicine Simon Ifekan-Shango(864) 560-1558 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 8/1/2014 Gen/Fam Practice

ReGenesis Health Care - Spartanburg Butler Margot (864) 582-2411 750 S. Church St Spartanburg PCMH 2 4/27/2014 4/27/2017 MD 8/1/2014 Pediatrics

ReGenesis Health Care - Spartanburg Hammett Adam (864) 582-2411 750 S. Church St Spartanburg PCMH 2 4/27/2014 4/27/2017 NP 8/1/2014 Gen/Fam Practice

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ReGenesis Health Care - Spartanburg Jones Doralyn (864) 582-2411 750 S. Church St Spartanburg PCMH 2 4/27/2014 4/27/2017 MD 8/1/2014 Gen/Fam Practice

Skylyn Medical Associates, PA Slater Vincent (864) 577-9970 1776 Skylyn Drive Spartanburg PPC-PCMH 1 2/28/2012 2/28/2015 DO 8/1/2014 Gen/Fam Practice

Skylyn Medical Associates, PA Ware Larry (864) 577-9970 1776 Skylyn Drive Spartanburg PPC-PCMH 1 2/28/2012 2/28/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physcians Group -

Palmetto Pediatrics- West Kavanagh Julie (864) 560-9600 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physcians Group -

Palmetto Pediatrics- West Mahaffey Shelley (864) 560-9600 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physcians Group -

Palmetto Pediatrics- West Parra Marcia (864) 560-9600 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physcians Group -

Palmetto Pediatrics- West Smith Donna (864) 560-9600 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physcians Group -

Palmetto Pediatrics- West Yelton John (864) 560-9600 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Palmetto Pediatrics- North Grove Daley Bradley (864) 560-6345 1330 Boiling Springs Rd Suite 1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Palmetto Pediatrics- North Grove Daley Luci (864) 560-6345 1330 Boiling Springs Rd Suite 1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Palmetto Pediatrics- North Grove Kidwai Asif (864) 560-6345 1330 Boiling Springs Rd Suite 1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Palmetto Pediatrics- North Grove Mistr Ernest (864) 560-6345 1330 Boiling Springs Rd Suite 1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Regional Pediatric Services Bungarz William (864) 560-6287 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Regional Pediatric Services Jurs Dennis (864) 560-6287 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

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Spartanburg Regional Physicians Group -

Regional Pediatric Services MacAtuno Edifel (864) 560-6287 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Regional Pediatric Services Monaghan Suzanne (864) 560-6287 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Pediatrics

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine Babushkina Victoria (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine Brown James (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine Craft Jeffrey (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine DAVENPORT PAMELA (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine GABEL DOROTEA (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine Hassan Rifat (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine Llewelyn Timothy (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine Pickens Charles (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Spartanburg Internal Medicine Reid, Jr. Samuel (864) 560-6851 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Internal Medicine

Spartanburg Regional Physicians Group -

Westmoreland, Hicklin, Coley Coley Scott (864) 573-9595 120 Heywood Avenue Suite 200 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Westmoreland, Hicklin, Coley GAINEY JAMES (864) 573-9595 120 Heywood Avenue Suite 200 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

Spartanburg Regional Physicians Group -

Westmoreland, Hicklin, Coley Westmoreland Thomas (864) 573-9595 120 Heywood Avenue Suite 200 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

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Westside Internal Medicine Patel Pranay (864) 576-5764 3070 Reidville Rd spartanburg PPC-PCMH 3 11/8/2013 2/28/2015 MD 8/1/2014 Internal Medicine

Edisto - St. Matthews Primary Care Braswell William (803) 874-3902 725 Harry C. Raysor Drive St. Matthews PCMH 2 7/23/2014 7/23/2017 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - St.

Stephens Office Schumann, Jr. Samuel (843) 567-3206 104 Funk Avenue St. Stephens PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Gum Street

Office Katz Barry (843) 873-1720 412 N. Gum Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Laurel

Office Montoya Sara (843) 875-0600 507 N. Laurel Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Anthony Heather (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Engelman Otis (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Giove Edward (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 DO 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Palo Jennifer (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Tabor Marcella (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 DO 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Tatum Heidi (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Valvo Melanie (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Oakbrook

Office Weathers Suzann (843) 875-0400 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians - Pine Office Keller Brian 404 North Pine St Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

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Palmetto Primary Care Physicians - Pine Office Rogers Sarah Ann 404 North Pine St Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Summerville Berry - Taylor Deborah (843) 873-0681 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Summerville Castellone David (843) 873-0681 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Summerville Dawson Claudius (843) 873-0681 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Summerville Engler Sandi (843) 873-0681 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 PA 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- Summerville Young Amy (843) 873-0681 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- West 8th Black Amy (843) 871-9440 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- West 8th Deberry Skye (843) 871-9440 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 MD 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- West 8th Howard Karen (843) 871-9440 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Palmetto Primary Care Physicians- West 8th Woods Marci (843) 871-9440 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 FNP 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Location 2 Mahr Christopher (803) 773-5227 220 Broad Street Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Location 2 Stewart Ike (803) 773-5227 220 Broad Street Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Pediatrics Location Rivers Hanna (803) 774-1091 742 W. Liberty Street Sumter PCMH 3 5/13/2014 5/13/2017 NP 8/1/2014 Gen/Fam Practice

Colonial Family Practice - Pediatrics Location Rollins Kristen (803) 774-1091 742 W. Liberty Street Sumter PCMH 3 5/13/2014 5/13/2017 MD 8/1/2014 Pediatrics

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Colonial Family Practice - Wesmark Location Grecco Charlotte (803) 905-1320 308 W. Wesmark Blvd. Sumter PCMH 3 12/20/2013 12/20/2016 ANP 8/1/2014 Other – not listed

Colonial Family Practice - Wesmark Location Hutson Cynthia (803) 905-1320 308 W. Wesmark Blvd. Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice - West Liberty Location Fisher Bret (803) 773-5227 764 Sumter PCMH 3 5/13/2014 5/13/2017 DO 8/1/2014 Internal Medicine

Colonial Family Practice, LLC - Main Location Grunsky Mitchell (843) 412-1590 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice, LLC - Main Location Leonard Jason (843) 412-1590 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice, LLC - Main Location Lowder Clayton (843) 412-1590 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice, LLC - Main Location Lucas Thomas (843) 412-1590 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Colonial Family Practice, LLC - Main Location Whaley David (843) 412-1590 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 8/1/2014 Gen/Fam Practice

Center for Pediatric Medicine - North Greenville

Outpatient Center Bhatia Erin (864) 455-9261 807 N. Main Street Travelers Rest PCMH 3 5/1/2014 5/1/2017 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - North Greenville

Outpatient Center Burton Elizabeth (864) 455-9261 807 N. Main Street Travelers Rest PCMH 3 5/1/2014 5/1/2017 MD 8/1/2014 Pediatrics

Center for Pediatric Medicine - North Greenville

Outpatient Center Millon Angela (864) 455-9261 807 N. Main Street Travelers Rest PCMH 3 5/1/2014 5/1/2017 MD 8/1/2014 Pediatrics

New Horizon Family Health Services - Slater Clanton Amy (864) 836-1109 1588 Geer Highway Travelers Rest PCMH 2 12/12/2013 12/12/2016 FNP 8/1/2014 Gen/Fam Practice

New Horizon Family Health Services - Slater Cotter Deanna (864) 836-1109 1588 Geer Highway Travelers Rest PCMH 2 12/12/2013 12/12/2016 MD 8/1/2014 Gen/Fam Practice

New Horizon Family Health Services - Slater Cotter John (864) 836-1109 1588 Geer Highway Travelers Rest PCMH 2 12/12/2013 12/12/2016 MD 8/1/2014 Gen/Fam Practice

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Markowitz and Associates Markowitz Jay (803) 794-3320 103 Saluda Ridge Court West Columbia PCMH 3 7/1/2013 7/1/2016 MD 8/1/2014 Internal Medicine

Markowitz and Associates Markowitz Michael (803) 794-3320 103 Saluda Ridge Court West Columbia PCMH 3 7/1/2013 7/1/2016 MD 8/1/2014 Internal Medicine

Markowitz and Associates Seawright Tanya (803) 794-3320 103 Saluda Ridge Court West Columbia PCMH 3 7/1/2013 7/1/2016 MD 8/1/2014 Internal Medicine

Golden Corner Family Practice Booker Christina (864) 638-5402 1205 N. Hwy. 11 West Union PCMH 1 1/23/2013 1/23/2016 MD 8/1/2014 Gen/Fam Practice

Golden Corner Family Practice Booker, Jr. Edward (864) 638-5402 1205 N. Hwy. 11 West Union PCMH 1 1/23/2013 1/23/2016 MD 8/1/2014 Gen/Fam Practice

Golden Corner Family Practice Booker, Sr. Edward (864) 638-5402 1205 N. Hwy. 11 West Union PCMH 1 1/23/2013 1/23/2016 MD 8/1/2014 Gen/Fam Practice

Fairfield Medical Associates - Primary Office Barnett Steven (803) 635-6461 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 8/1/2014 Gen/Fam Practice

Fairfield Medical Associates - Primary Office Gaddy Roger (803) 635-6461 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 8/1/2014 Gen/Fam Practice

Fairfield Medical Associates - Primary Office Grosslight Susan (803) 635-6461 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 FNP 8/1/2014 Gen/Fam Practice

Fairfield Medical Associates - Primary Office May Evelyn (803) 635-6461 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 FNP 8/1/2014 Gen/Fam Practice

Fairfield Medical Associates - Primary Office Patrick Harmon (803) 635-6461 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 8/1/2014 Gen/Fam Practice

Fairfield Medical Associates - Primary Office Stuck Deborah (803) 635-6461 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 8/1/2014 Gen/Fam Practice

ReGenesis Health Care - Woodruff Delfino Matthew 220 Irby Street Woodruff PCMH 2 6/10/2014 6/10/2017 MD 8/1/2014 Gen/Fam Practice

ReGenesis Health Care - Woodruff Esquivel Heather 220 Irby Street Woodruff PCMH 2 6/10/2014 6/10/2017 MD 8/1/2014 Gen/Fam Practice

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Spartanburg Regional Physicians Group -

Family Practice of Woodruff Gragg James (864) 278-6031 511 Cross Anchor Rd Woodruff PPC-PCMH 3 8/6/2012 8/6/2015 MD 8/1/2014 Gen/Fam Practice

*The Practitioners indentified herein have been recognized under the National Committee for Quality Assurance's (NCQA) Physician Practice Connections-Patient-Centered Medical Home 2011 (PCMH 2011). Recognition is not a guarantee that individual medical care delivered by a

practitioner or organization will meet a certain standard of care. NCQA MAKES NO REPRESENTATIONS, WARRANTIES, OR ENDORSEMENT ABOUT THE QUALITY OF ANY ORGANIZATION OR PHYSICIAN THAT MAY HAVE ACHIEVED RECOGNITION.


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