Carolinas Medical Alliance, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CAROLINAS MEDICAL ALLIANCE, INC

Doing business as

Coleman Family Practice

Practice address

953 S. Pamplico Hwy.
Pamplico, SC 29583-4058

Phone

(843) 493-5252

Fax

(843) 493-2372

NPI assigned

Apr 27, 2007

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sophia L Arwood

Title

Director

Phone

(615) 628-6038

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coleman Family Practice Doing business as

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yarrow L Babb, PA-C

  • Physician Assistant
  • Florence, SC
  • NPI 1710010665
  NPD (past)
• Philip Chaipis, MD

  • Surgery Physician
  • Hartsville, SC
  • NPI 1760449920
  NPD (past)
• Linh Domai Dastous, MD

  • Internal Medicine Physician
  • Beaufort, SC
  • NPI 1659338903
  NPD (past)
• Victor Anselmo Gomez, PA-C

  • Physician Assistant
  • West Columbia, SC
  • NPI 1083672737
  NPD (past)
• Margaret H. Hoffmeyer, MD

  • Family Medicine Physician
  • Florence, SC
  • NPI 1215962568
  NPD (past)
• Charlie Dorn Smith III, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lake City, SC
  • NPI 1003874892
  NPD (past)
• Ian Smith, MD

  • Interventional Cardiology Physician
  • Irmo, SC
  • NPI 1306869060
  NPD (past)
• Anna Katherine Clark Gibson, M.D.

  • Surgery Physician
  • Liberty, MO
  • NPI 1700801073
  NPD (past)
• Vidette V Cooper, MD

  • Internal Medicine Physician
  • Dunn, NC
  • NPI 1568420107
  NPD (past)
• Michael Ford Gibson, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, MO
  • NPI 1689634313
  NPD (past)
• Carolyn L. Inman, MD

  • Family Medicine Physician
  • Ruskin, FL
  • NPI 1861459117
  NPD (past)
• Bruce Jones, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Springfield, MO
  • NPI 1679531453
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1023238490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S. PAMPLICO HWY.",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295834058",
            "telephone_number": "843-493-5252",
            "fax_number": "843-493-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 S. PAMPLICO HWY.",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295834058",
            "telephone_number": "843-493-5252",
            "fax_number": "843-493-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL ALLIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-628-6038"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC109",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaliyah T Allen, CPT NHA
• Lorraine Sullivan Bennett, COTA/L
• Joseph Leonard Brown, DMD
• Carolinas Medical Alliance Inc
• Tina Stone Chastain, RPH
• Kellie White Douglas, PHARM.D
• Exodus Medical Transport of SC
• Florence County School District No. Two
• Hannah Residential Manor, Inc.

• Rural Health Clinic/Center in Pamplico, SC
• Providers in Pamplico, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.