Rogene Avery

Individual provider Active NPI Case Manager/Care Coordinator · Anderson, SC

NPI 1003602996 · NPPES record last updated Apr 16, 2025

Key facts

NPI
1003602996
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
210 N McDuffie St Ste LL1
Anderson, SC 29621-5646
Phone
(864) 540-8103
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless SC, LLC Current
since Apr 27, 2025
Accepting new patients

Locations

210 N McDuffie St
Ste LL1
Anderson, SC 29621
Phone (864) 540-8103

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

210 N McDuffie St Ste LL1
Anderson, SC 29621-5646

Mailing address

210 N McDuffie St Ste LL1
Anderson, SC 29621-5646
Phone (864) 540-8103

Other providers in Anderson, SC

All providers in Anderson, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.