Cherokee Medical Center
Organization Active NPI Internal Medicine Physician · Gaffney, SC
NPI 1972154458 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1972154458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CHEROKEE MEDICAL CENTER
- Practice address
- 139 Medical Center Dr
Gaffney, SC 29340-4823 - Phone
- (864) 487-7186
- Fax
- (864) 487-7246
- NPI assigned
- Sep 25, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
- Name
- Kenneth Meinke
- Title
- Chief Financial Officer
- Phone
- (864) 560-6000
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 10
Practitioners 8
-
Michael S Dale, M.D.
-
Alyssa Sherrill Jackson, DNP, APRN, FNP-BC
-
Howard W Klickman, M.D.
-
Richard G Leland Jr., M.D.
-
David H Whiteside, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191220002041 | SC | Part B Supplier - Clinic/Group Practice | 5991041212 |
Receives reassigned benefits from 145 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gaffney, SC |
National Provider Directory
- Tax ID family
- Cherokee Medical Center
- Part of
- Spartanburg Regional Health Services District Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
139 Medical Center Dr
Gaffney, SC 29340-4823
Mailing address
PO Box 277723
Atlanta, GA 30384-7723
Phone (864) 560-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP9405 | Medicaid | SC | |
| J577 | Other | SC | MEDICARE PIN |
Other names
- CMC-Center for Internal Medicine
Other providers in Gaffney, SC
- Cherokee Medical Center
- Cherokee Medical Center
- Cherokee Medical Center
- Cherokee Medical Center
- Cherokee Medical Center
- Cherokee Pediatric Associates, LLC
- Cherokee Pediatrics
- Cherokee Rehabilitation
- Cherokee Women'S Center, PA
- Chiropractic Wellness Inc
All providers in Gaffney, SC · Internal Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.