South Carolina Cancer Specialist, P.a.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

14194 Issued in SC

Legal business name

SOUTH CAROLINA CANCER SPECIALIST, P.A.

Practice address

45 Hospital Center CMNS Ste 200
Hilton Head Island, SC 29926-2837

Phone

(843) 689-2895

Fax

(843) 689-9270

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Yvetta P Lee

Title

Network Credentialing Coordinator

Phone

(912) 819-2146

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Gary W Thomas MD, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Carolina Cancer Specialist, P.a.

  • Hematology & Oncology Physician
  • Bluffton, SC
  • NPI 1114559119

  O20040305000281

  Same enrollment
• South Carolina Cancer Specialist, P.a.

  • Hematology & Oncology Physician
  • Hilton Head Island, SC
  • NPI 1912177239

  O20040305000281

  Same enrollment

Locations

Practitioners 5

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.

• Dorothy Lynn Ferrelli, ANP-BC

  • Adult Health Nurse Practitioner
  • Bluffton, SC
  • NPI 1356642805
  NPD (past)
• Gregory Michael Haidemenos, MD

  • Hematology & Oncology Physician
  • Hilton Head Island, SC
  • NPI 1689080129
  NPD (past)
• Alexis Michelle Lipps, RN

  • Nurse Practitioner
  • Bluffton, SC
  • NPI 1659002954
  NPD (past)
• Gary W Thomas, MD

  • Hematology & Oncology Physician
  • Hilton Head Island, SC
  • NPI 1043218316
  NPD (past)
• Kimberly Todd, APRN

  • Family Nurse Practitioner
  • Hilton Head Island, SC
  • NPI 1083086425
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1285633289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST STE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054493",
            "telephone_number": "912-819-2146",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL CENTER CMNS STE 200",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2895",
            "fax_number": "843-689-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Buckwalter Place Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105023",
            "country_code": "US",
            "telephone_number": "843-836-7101",
            "fax_number": "843-836-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CAROLINA CANCER SPECIALIST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YVETTA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "NETWORK CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "912-819-2146"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "14194",
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9576",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4225377",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DA3698",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3117",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary W Thomas MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Renee Marie Soban, PHARM.D.
• Michael L Sobel, DO
• Areadne Soler, M.D.
• John Thomas Sommer Jr., PT, DPT
• Carole Lee Sorg, PSY.D.
• South Carolina Cancer Specialist, P.a.
• South Carolina Health Services, Inc
• South Carolina Therapy Group LLC
• Southeastern Regenerative Institute
• Southern MRI Hilton Head

• Hematology & Oncology Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Hematology & Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.