Pelzer Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PELZER URGENT CARE LLC

Practice address

323 Lebby St
Pelzer, SC 29669-1754

Phone

(864) 769-0210

Fax

(888) 498-4287

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Domodhar Nerella, MD

Title

Administrator

Phone

(864) 847-2044

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 8

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

• Jennifer Lynn Britt, FNP

  • Family Nurse Practitioner
  • Easley, SC
  • NPI 1134873870

  SC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Danette Cogdill, FNP

  • Family Nurse Practitioner
  • Pelzer, SC
  • NPI 1720636533

  SC

  Medicare reassignment Care Compare group NPD
• Keenan Jaleel Simmons, FNP

  • Family Nurse Practitioner
  • Anderson, SC
  • NPI 1184258642

  SC

  Medicare reassignment Care Compare group NPD
• Julie R Chesson, ARNP

  • Family Nurse Practitioner
  • Powdersville, SC
  • NPI 1326605411

  SC, Single Specialty

  Medicare reassignment NPD
• Cathy M Ford, FNP-BC

  • Family Nurse Practitioner
  • Anderson, SC
  • NPI 1073701165

  Nurse Practitioner, SC

  Medicare reassignment NPD
• Damodhar Nerella, MD

  • Hospitalist Physician
  • Anderson, SC
  • NPI 1396794145

  Internal Medicine, SC

  Medicare reassignment NPD
• Tracey Glen Schofield Jr., APRN

  • Family Nurse Practitioner
  • Anderson, SC
  • NPI 1184931081

  SC, Single Specialty

  Medicare reassignment NPD
• Jerita Sarana Sherard, NP

  • Family Nurse Practitioner
  • Anderson, SC
  • NPI 1407449069

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1619656352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 LEBBY ST",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296691754",
            "telephone_number": "864-307-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LEBBY ST",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296691754",
            "telephone_number": "864-769-0210",
            "fax_number": "888-498-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELZER URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "NERELLA",
        "authorized_official_first_name": "DOMODHAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-847-2044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Olene Nichols, LISW CP
• Open Cart LLC
• Palmetto Dental Studio Pelzer, LLC
• Archana Patel, RPH
• Pelzer Rescue Squad
• Brittney Perkins, LMSW
• Alexis Reamer
• Ashton Sellers
• Seven Dayz Residential Care Services
• Crystal S Sims, MSP, CCC-SLP

• All providers in Pelzer, SC
• Urgent Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.