Active NPI
Pecora Medical, PC
- Internal Medicine Physician
- Anderson, SC
National Provider Identifier
1275825994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PECORA MEDICAL, PC
- Practice address
- 803 N Fant St Ste 3a
Anderson, SC 29621-5718 - Phone
- (864) 225-7401
- Fax
- (864) 225-7201
- NPI assigned
- May 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claudia Panameno, MBA
- Title
- Practice Manager
- Phone
- (864) 225-7401
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X |
Addresses
Primary practice location
803 N Fant St Ste 3a
Anderson, SC 29621-5718
Mailing address
PO Box 357
Anderson, SC 29622-0357
Phone (864) 225-7401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP8549 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0929061 | Pecora Medical & Pain PC | Certificate of waiver | Jun 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
123 Whitehall Rd
Anderson, SC 29625
Phone (864) 225-7401
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Greenwood, SC
- NPI 1215973219
-
- Internal Medicine Physician
- Anderson, SC
- NPI 1912008806
-
- Urology Physician
- Anderson, SC
- NPI 1982659363
-
- Gastroenterology Physician
- Paducah, KY
- NPI 1750336863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540339200000",
"number": "1275825994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296220357",
"telephone_number": "864-225-7401",
"fax_number": "864-225-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 N FANT ST STE 3A",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215718",
"telephone_number": "864-225-7401",
"fax_number": "864-225-7201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PECORA MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-12",
"last_updated": "2018-10-24",
"status": "A",
"authorized_official_last_name": "PANAMENO",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "864-225-7401",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP8549",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.