Pee Dee Nephrology LLP

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PEE DEE NEPHROLOGY LLP

Practice address

1100 E Cheves St
Florence, SC 29506-2708

Phone

(843) 669-6994

Fax

(843) 669-2500

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

John C Pittard, MDNPI 1568451466

Title

President

Phone

(843) 669-6694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Cameron Pittard, MD

  • Nephrology Physician
  • Florence, SC
  • NPI 1568451466
  Medicare reassignment Care Compare group NPD Authorized official
• Betty Gattison, NP

  • Acute Care Nurse Practitioner
  • Florence, SC
  • NPI 1013442268
  Medicare reassignment Care Compare group NPD
• Venugopal Govindappa, MD

  • Nephrology Physician
  • Florence, SC
  • NPI 1316983729
  Medicare reassignment Care Compare group NPD
• Karthik P Karanam, MD

  • Nephrology Physician
  • Florence, SC
  • NPI 1982837415
  Medicare reassignment Care Compare group NPD
• Farhan Maqsood, M.D.

  • Nephrology Physician
  • Florence, SC
  • NPI 1760463491
  Medicare reassignment Care Compare group NPD
• Morgan Chantel Momyer, DNP, FNP-C

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1447787403
  Medicare reassignment Care Compare group NPD
• Samuel Kofi Osei Okoh, MD

  • Nephrology Physician
  • Hartsville, SC
  • NPI 1730381252
  Medicare reassignment Care Compare group NPD
• Pongstorn Pitiranggon, MD

  • Specialist
  • Florence, SC
  • NPI 1740272236

  Nephrology

  Medicare reassignment Care Compare group NPD
• Inderpal Singh, MD

  • Nephrology Physician
  • Florence, SC
  • NPI 1770572562
  Medicare reassignment Care Compare group NPD
• Gina M. B. Goddard, APRN

  • Nurse Practitioner
  • Columbia, SC
  • NPI 1508398835
  Medicare reassignment NPD
• Kayla Brynn Hewett, APRN

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1316561095
  Medicare reassignment NPD
• Shivakanth Burugu, M.D.

  • Nephrology Physician
  • New Iberia, LA
  • NPI 1023334828

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1598825929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062708",
            "telephone_number": "843-669-6994",
            "fax_number": "843-669-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062708",
            "telephone_number": "843-669-6994",
            "fax_number": "843-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE NEPHROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "PITTARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-669-6694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pee Dee Mental Health Center
• Pee Dee Mental Health Center
• Pee Dee Mental Health Center
• Pee Dee Mental Health Center
• Pee Dee Metal Health Center
• Pee Dee Neurosurgical Service PA
• Pee Dee Optical
• Pee Dee Orthopedic Assoc
• Pee Dee Orthopedic Assoc
• Pee Dee Pathology Associates Inc.

• Nephrology Physician in Florence, SC
• Providers in Florence, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.

Verify at the official NPI Registry.