pcmh recognized practices and physicians ... - msp-scdhhs.gov · edisto - bamberg hacker richard...

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Practice Name Physician Last Name Physician First Name Street Address City Recognition Seal Recognition Level Beginning Recognition Date Ending Recognition Date Credential File Creation Date Practice Specialty AnMed Health - Anderson Family Medicine Beben Katherine 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health - Anderson Family Medicine Cianciolo Amy 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health - Anderson Family Medicine Kiang Hui Tzu 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 DO 1/1/2015 Gen/Fam Practice AnMed Health - Centerville Family Medicine (2) Nelson Kyle 1520 Whitehall Road Anderson PCMH 3 12/15/2014 12/15/2017 DO 1/1/2015 Gen/Fam Practice AnMed Health - Lakeside Family Medicine Boyer Elizabeth 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 1/1/2015 Gen/Fam Practice AnMed Health - Lakeside Family Medicine Franks Melody 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 1/1/2015 Gen/Fam Practice AnMed Health - Lakeside Family Medicine Moore Justin 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 1/1/2015 Gen/Fam Practice AnMed Health Children's Health Center Bradford Nathan 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics AnMed Health Children's Health Center Clark Deandra 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics AnMed Health Children's Health Center Jain Ruchika 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics AnMed Health Children's Health Center Sizemore Kent 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics AnMed Health Children's Health Center Sohn Jae 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics AnMed Health Family Medicine Residency Program Abercrombie Stoney 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health Family Medicine Residency Program Bradford Nathan 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Pediatrics AnMed Health Family Medicine Residency Program Bridwell Richard 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health Family Medicine Residency Program Clemow Diana 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health Family Medicine Residency Program Cline Matthew 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health Family Medicine Residency Program Cook Anne 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Internal Medicine AnMed Health Family Medicine Residency Program Davis Amanda 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health Family Medicine Residency Program Kellner Scott 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice AnMed Health Family Medicine Residency Program Mcelwee Joseph 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice PCMH Recognized Practices and Physicians January 2015

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Page 1: PCMH Recognized Practices and Physicians ... - MSP-scdhhs.gov · Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice Edisto

Practice Name Physician Last Name Physician First Name Street Address City Recognition Seal

Recognition

Level

Beginning

Recognition Date

Ending

Recognition

Date Credential

File Creation

Date Practice Specialty

AnMed Health - Anderson

Family Medicine Beben Katherine 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Anderson

Family Medicine Cianciolo Amy 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Anderson

Family Medicine Kiang Hui Tzu 2000 East Greenville Street Anderson PCMH 3 3/5/2014 3/5/2017 DO 1/1/2015 Gen/Fam Practice

AnMed Health - Centerville

Family Medicine (2) Nelson Kyle 1520 Whitehall Road Anderson PCMH 3 12/15/2014 12/15/2017 DO 1/1/2015 Gen/Fam Practice

AnMed Health - Lakeside Family

Medicine Boyer Elizabeth 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Lakeside Family

Medicine Franks Melody 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Lakeside Family

Medicine Moore Justin 4120 Highway 24 Anderson PCMH 3 8/8/2013 8/8/2016 MD 1/1/2015 Gen/Fam Practice

AnMed Health Children's

Health Center Bradford Nathan 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics

AnMed Health Children's

Health Center Clark Deandra 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics

AnMed Health Children's

Health Center Jain Ruchika 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics

AnMed Health Children's

Health Center Sizemore Kent 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics

AnMed Health Children's

Health Center Sohn Jae 500 North Fant Street Anderson PCMH 3 12/18/2013 12/18/2016 MD 1/1/2015 Pediatrics

AnMed Health Family Medicine

Residency Program Abercrombie Stoney 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Bradford Nathan 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Pediatrics

AnMed Health Family Medicine

Residency Program Bridwell Richard 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Clemow Diana 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Cline Matthew 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Cook Anne 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Internal Medicine

AnMed Health Family Medicine

Residency Program Davis Amanda 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Kellner Scott 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Mcelwee Joseph 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

PCMH Recognized Practices and Physicians January 2015

Page 2: PCMH Recognized Practices and Physicians ... - MSP-scdhhs.gov · Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice Edisto

AnMed Health Family Medicine

Residency Program Mulroy Brian 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Sanders Caroline 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Woodall Hunter 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Wright Mary Beth 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 FNP 1/1/2015 Gen/Fam Practice

AnMed Health Family Medicine

Residency Program Young Natawadee 2000 East Greenville Street Anderson PCMH 2 11/24/2014 11/24/2017 MD 1/1/2015 Gen/Fam Practice

Cornerstone Family Medicine Cox Kimberly 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 NP 1/1/2015 Gen/Fam Practice

Cornerstone Family Medicine Dorn James 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 NP 1/1/2015 Gen/Fam Practice

Cornerstone Family Medicine Keizer Rick 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 MD 1/1/2015 Gen/Fam Practice

Cornerstone Family Medicine Kyle David 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 MD 1/1/2015 Gen/Fam Practice

Cornerstone Family Medicine Mccann David 801 E. Greenville Street Anderson PCMH 2 7/25/2014 11/14/2015 MD 1/1/2015 Gen/Fam Practice

Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice

Edisto - Bamberg Wilhite Brenda 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 NP 1/1/2015 Gen/Fam Practice

Barnwell Family Medicine Croft Justin 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 PA 1/1/2015 Gen/Fam Practice

Barnwell Family Medicine Glover Vickie 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 PA 1/1/2015 Gen/Fam Practice

Barnwell Family Medicine Koukos Dean 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 DO 1/1/2015 Gen/Fam Practice

Barnwell Family Medicine Ky Mol 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 DO 1/1/2015 Gen/Fam Practice

Barnwell Family Medicine Newman Eric 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 PA 1/1/2015 Gen/Fam Practice

Barnwell Family Medicine Toomer Catherine 86 Wren St. Barnwell PCMH 2 7/2/2014 7/2/2017 MD 1/1/2015 Gen/Fam Practice

Novant Medical Group (5) -

Novant Health Blacksburg

Family Medicine McCurry Troy 303 West Pine Street Blacksburg PCMH 3 12/15/2014 12/15/2017 NP 1/1/2015 Other – not listed

Family Physicians of Boiling

Springs Baugh Jennifer 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Family Physicians of Boiling

Springs Bingham Marc 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Family Physicians of Boiling

Springs CANNON MATTHEW 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 DO 1/1/2015 Gen/Fam Practice

Family Physicians of Boiling

Springs Gibson Gregory 3941 Highway 9 Boiling Springs PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Page 3: PCMH Recognized Practices and Physicians ... - MSP-scdhhs.gov · Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice Edisto

Palmetto Primary Care

Physicians- Bonneau Brehmer Sandra 1401 Main Street Bonneau PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Bonneau Price Beth 1401 Main Street Bonneau PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Bonneau Rodgers David 1401 Main Street Bonneau PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Edisto - Dr. William O'Quinn

Primary Care Oquinn William 215 Dorange Road Branchville PCMH 3 7/12/2014 7/12/2017 MD 1/1/2015 Gen/Fam Practice

Edisto - Dr. William O'Quinn

Primary Care Terry Kim 215 Dorange Road Branchville PCMH 3 7/12/2014 7/12/2017 PA 1/1/2015 Gen/Fam Practice

Brookland Cayce Medical

Practice Arora Sri 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 1/1/2015 Internal Medicine

Brookland Cayce Medical

Practice Coleman Tonna 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 1/1/2015 Gen/Fam Practice

Brookland Cayce Medical

Practice Davis Deborah 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 1/1/2015 Obstetrics/Gynecology

Brookland Cayce Medical

Practice Garner Tabitha 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 NP 1/1/2015 Gen/Fam Practice

Brookland Cayce Medical

Practice Jones Kadijah 1115 State Street Cayce PCMH 3 12/24/2013 12/24/2016 MD 1/1/2015 Gen/Fam Practice

Coastal Pediatric Associates -

West Ashley Alberg Laura 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Beck Leigh Arden 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 NP 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Clifford Robert 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Domm Kathleen 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Graham William 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Huncik Kara 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Lee Franklin 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Milliron Elizabeth 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Porcher Frances 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Singh Sonia 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Stripling Stephen 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

West Ashley Thelan Elizabeth (Mary) 2051 Charlie Hall Boulevard Charleston PCMH 3 5/9/2014 5/9/2017 NP 1/1/2015 Pediatrics

Hugh D Durrence, MD, PC Durrence Hugh 418 Folly Rd Charleston PPC-PCMH 1 2/29/2012 2/28/2015 MD 1/1/2015 Gen/Fam Practice

Page 4: PCMH Recognized Practices and Physicians ... - MSP-scdhhs.gov · Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice Edisto

Medical University of South

Carolina University Internal

Medicine Abernathy Karen 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Brownfield Elisha 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Brzezinski Walter 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Clyburn Ernest 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Davis Kimberly 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Egede Leonard 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Fox Donald 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Keith Brad 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Lichtenstein Leonard 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Litvin Cara 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Lynch Cheryl 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Martin Temeia 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Psychiatry

Medical University of South

Carolina University Internal

Medicine Mohr Lawrence 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Moran William 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Rickard Tara 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Schreiner Andrew 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Thomas James 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Wiley Maria 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

Medical University of South

Carolina University Internal

Medicine Wolfman Tamara 135 Rutledge Ave Charleston PCMH 3 10/21/2014 10/21/2017 MD 1/1/2015 Internal Medicine

MUSC Department of Family

Medicine Chessman Alexander 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Decastro Alexei 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Diaz Vanessa 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Garr David 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

Page 5: PCMH Recognized Practices and Physicians ... - MSP-scdhhs.gov · Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice Edisto

MUSC Department of Family

Medicine Hainer Barry 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Hebbar Airody 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Jain Aparna 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Kaur Dipinpreet 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Matheson Eric 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Mims Lisa 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Ornstein Steven 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Player Marty 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Department of Family

Medicine Porter Maribeth 650 Ellis Oak Drive Charleston PCMH 3 2/10/2014 2/10/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Physicians Primary Care -

Internal Medicine Peninsula Akhtar Jeffrey 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 DO 1/1/2015 Internal Medicine

MUSC Physicians Primary Care -

Internal Medicine Peninsula Campbell Jeanne 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

MUSC Physicians Primary Care -

Internal Medicine Peninsula Kyle Maryellen 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

MUSC Physicians Primary Care -

Internal Medicine Peninsula McNulty Samuel 30 Bee Street Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

MUSC Physicians Primary Care -

West Ashley Internal Hernandez Antonio 2125 Charlie Hall Blvd. Ste. 2A Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

MUSC Physicians Primary Care -

West Ashley Internal Santiago Rica 2125 Charlie Hall Blvd. Ste. 2A Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

MUSC Physicians Primary Care -

West Ashley Internal Schultze Jeffrey 2125 Charlie Hall Blvd. Ste. 2A Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

Palmetto Primary Care

Physicians - Trolley Bolster D 201 Oakbrook Lane Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Internal Medicine

Palmetto Primary Care

Physicians - Trolley Grossman Colby 201 Oakbrook Lane Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Internal Medicine

Palmetto Primary Care

Physicians - Trolley Reeves Tracy 201 Oakbrook Lane Charleston PCMH 3 8/13/2013 8/13/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Appian Way Edwards Matthew 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Appian Way Harmon Elizabeth 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015

Palmetto Primary Care

Physicians- Appian Way Jordan Beverly 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015

Palmetto Primary Care

Physicians- Appian Way Redwine John 5325 Appian Way Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Page 6: PCMH Recognized Practices and Physicians ... - MSP-scdhhs.gov · Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice Edisto

Chesnee Center for Family

Medicine Warren Petra 230 S. Alabama Ave. Chesnee PPC-PCMH 3 2/7/2012 2/7/2015 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Columbia Soto Carlos 3930 Devine Street Columbia PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Northeast Location Pridgen Kaoru 11 Gateway Corners Park Columbia PCMH 3 5/13/2014 5/13/2017 MD 1/1/2015 Gen/Fam Practice

Five Points Pediatrics Kayse Mary 1228 Harden Street Columbia PCMH 3 2/6/2013 2/6/2016 PNP 1/1/2015

Five Points Pediatrics Lofton Kiersten 1228 Harden Street Columbia PCMH 3 2/6/2013 2/6/2016 MD 1/1/2015 Pediatrics

Five Points Pediatrics McCutcheon Monica 1228 Harden Street Columbia PCMH 3 2/6/2013 2/6/2016 MD 1/1/2015 Pediatrics

Midlands Internal Medicine Massey Jean 115 Blarney Drive Columbia PCMH 3 10/30/2013 1/30/2016 ANP 1/1/2015 Internal Medicine

Midlands Internal Medicine Patel Nitin 115 Blarney Drive Columbia PCMH 3 10/30/2013 1/30/2016 MD 1/1/2015 Internal Medicine

Midlands Internal Medicine Robinson William 115 Blarney Drive Columbia PCMH 3 10/30/2013 1/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Anderson Iii, William 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Carter Charles 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Elliott Samuel 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Greenhouse David 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Hall Jeffrey 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Hernandez Johan 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Jenkinson David 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 DO 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Keisler Brian 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Lamar Charles 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Mann Joshua 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Other – not listed

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM MAYEAUX EDWARD 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Platt Tan 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Stacy Jason 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Strayer Scott 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Page 7: PCMH Recognized Practices and Physicians ... - MSP-scdhhs.gov · Edisto - Bamberg Hacker Richard 498 North Street Bamberg PCMH 3 11/7/2014 11/7/2017 MD 1/1/2015 Gen/Fam Practice Edisto

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Waleh Meshia 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Family Medicine

Center/Univ of South Carolina

DFPM Witherspoon Patricia 3209 Colonia Drive Columbia PCMH 3 9/2/2013 9/2/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Atrium Ridge Bell Gary 11 Atrium Ridge Court Columbia PCMH 3 10/17/2013 7/22/2015 MD 1/1/2015 Internal Medicine

Palmetto Health Atrium Ridge Bolden Kelle 11 Atrium Ridge Court Columbia PCMH 3 10/17/2013 7/22/2015 MD 1/1/2015 Internal Medicine

Palmetto Health Northeast

Family Practice Augustine Melissa 115 Blanrney Drive Columbia PCMH 3 8/18/2013 8/18/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Northeast

Family Practice Dicesare Jaclyn 115 Blanrney Drive Columbia PCMH 3 8/18/2013 8/18/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Northeast

Family Practice Fitzgibbon Rodney 115 Blanrney Drive Columbia PCMH 3 8/18/2013 8/18/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Senior Primary

Care Farrow Road Boston Tisha 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015

Palmetto Health Senior Primary

Care Farrow Road Gajadhar Rachelle 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015 Geriatric Medicine

Palmetto Health Senior Primary

Care Farrow Road Hirth Victor 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015 Internal Medicine

Palmetto Health Senior Primary

Care Farrow Road Matthews Margaret 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015 Internal Medicine

Palmetto Health Senior Primary

Care Farrow Road Mattocks Karen 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Senior Primary

Care Farrow Road Maylath Craig 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015

Palmetto Health Senior Primary

Care Farrow Road Steen Christian 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015

Palmetto Health Senior Primary

Care Farrow Road Steen Jamee 3010 Farrow Road Columbia PCMH 3 5/18/2013 5/18/2016 MD 1/1/2015

Palmetto Health Senior Primary

Care Parkridge Leone Andres 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Senior Primary

Care Parkridge Maylath Craig 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Senior Primary

Care Parkridge Naik Prexa 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Senior Primary

Care Parkridge Roque Nazario Elaine 100 Palmetto Health Parkway Columbia PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Health-First Care Izard Stephen 2406 Decker blvd Columbia PCMH 2 5/1/2014 5/1/2017 MD 1/1/2015 Internal Medicine

Palmetto Health-First Care Masters Kim 2406 Decker blvd Columbia PCMH 2 5/1/2014 5/1/2017 NP 1/1/2015 Other – not listed

Palmetto Health-First Care Young Stewart 2406 Decker blvd Columbia PCMH 2 5/1/2014 5/1/2017 MD 1/1/2015 Gen/Fam Practice

Palmetto Health-Parkridge

Medical Associates Birdsong Claire 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Gen/Fam Practice

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Palmetto Health-Parkridge

Medical Associates Hutto Eric 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Gen/Fam Practice

Palmetto Health-Parkridge

Medical Associates Millwood Charles 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Gen/Fam Practice

Palmetto Health-Parkridge

Medical Associates Torres Carlos 100 Palmetto Health Parkway Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Gen/Fam Practice

Palmetto Health-Three Rivers

Medical Associates Taylor Allison James 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Palmetto Health-Three Rivers

Medical Associates Taylor Goldstein Francis 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Palmetto Health-Three Rivers

Medical Associates Taylor Gould John 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 DO 1/1/2015 Internal Medicine

Palmetto Health-Three Rivers

Medical Associates Taylor Head Patricia 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 NP 1/1/2015 Internal Medicine

Palmetto Health-Three Rivers

Medical Associates Taylor Huffman Leroy 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Palmetto Health-Three Rivers

Medical Associates Taylor Nairn Dana 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Palmetto Health-Three Rivers

Medical Associates Taylor Toliver-Dingle Peggy 1301 Taylor Street Columbia PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Sandhills Pediatrics - Main Ledlie Laura 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Main Rickenmann Laura 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Main Taylor William 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Main Wesssinger Kevin 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Main Willard William 1749 Marshall Street Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Northeast DuBose Theodore 110 Summit Centre Drive Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Northeast Finch Michael 110 Summit Centre Drive Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Northeast Haile Elizabeth 110 Summit Centre Drive Columbia PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

South Hampton Family Practice Hester Brabham 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 1/1/2015 Gen/Fam Practice

South Hampton Family Practice Hester Martha 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 1/1/2015 Gen/Fam Practice

South Hampton Family Practice Risinger Sharon 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 1/1/2015 Gen/Fam Practice

South Hampton Family Practice Shumpert Evelynne 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 NP 1/1/2015 Gen/Fam Practice

South Hampton Family Practice Williams Mary 5900 Garners Ferry Road Columbia PCMH 2 3/26/2014 3/26/2017 MD 1/1/2015 Gen/Fam Practice

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University Family Medicine Hernandez Johan 4311 Hardscrabble Road Columbia PCMH 3 8/10/2013 8/10/2016 MD 1/1/2015 Gen/Fam Practice

University Family Medicine Varughese Beena 4311 Hardscrabble Road Columbia PCMH 3 8/10/2013 8/10/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Daniel Island Office Austin Christin 900 Island Park Drive Daniel Island PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Daniel Island Office Davis Lucy 900 Island Park Drive Daniel Island PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Daniel Island Office Spicer Leigh 900 Island Park Drive Daniel Island PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians at 290 Adams-Hudson Brenda 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians at 290 Gragg James 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians at 290 Kucaba Walter 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 DO 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians at 290 Lucarelli Richard 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 DO 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians at 290 Shaikh Huneiza 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians at 290 Tanbonliong Michael 1575 East Main Street Duncan PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Foothills Internal Medicine Harding Lisa 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 1/1/2015 Internal Medicine

Foothills Internal Medicine Holton Geanice 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 1/1/2015 Internal Medicine

Foothills Internal Medicine Snipes Calvin 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 1/1/2015 Internal Medicine

Foothills Internal Medicine Swiger Barry 1648 Gentry Memorial HWY Easley PCMH 3 2/20/2014 2/20/2017 MD 1/1/2015 Internal Medicine

Low Country Health Care

System, Inc. Ayers Bobbie 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 1/1/2015 Gen/Fam Practice

Low Country Health Care

System, Inc. Boyles Richard 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 1/1/2015 Gen/Fam Practice

Low Country Health Care

System, Inc. Gibbons Jory 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 PA 1/1/2015 Gen/Fam Practice

Low Country Health Care

System, Inc. McCormack Kerin 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 PA 1/1/2015 Gen/Fam Practice

Low Country Health Care

System, Inc. Mckissick Janet 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 1/1/2015 Gen/Fam Practice

Low Country Health Care

System, Inc. Miller Kyauna 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 1/1/2015 Gen/Fam Practice

Low Country Health Care

System, Inc. Moskow Abe 333 Revolutionary Trail Fairfax PCMH 2 2/15/2014 2/15/2017 MD 1/1/2015 Gen/Fam Practice

HopeHealth - Cherokee Chokshi Brinda 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 1/1/2015 Internal Medicine

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HopeHealth - Cherokee Culpepper David 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 1/1/2015 Internal Medicine

HopeHealth - Cherokee Lyles Kelly 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 1/1/2015 Internal Medicine

HopeHealth - Cherokee Prigg-Kozacki Krista 231 Cherokee Street Florence PCMH 3 4/21/2014 4/21/2017 MD 1/1/2015 Gen/Fam Practice

HopeHealth - FMU DeMarco Paul 121 S. Evander Drive Florence PCMH 3 6/9/2014 6/9/2017 MD 1/1/2015 Internal Medicine

HopeHealth - Palmetto Barrineau Patricia 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 MD 1/1/2015 Internal Medicine

HopeHealth - Palmetto Browning Gregory 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 MD 1/1/2015 Gen/Fam Practice

HopeHealth - Palmetto Hanna Brian 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 MD 1/1/2015 Gen/Fam Practice

HopeHealth - Palmetto Mitchell Mary 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 NP 1/1/2015 Gen/Fam Practice

HopeHealth - Palmetto Nwankudu Nwada 600 East Palmetto Street Florence PCMH 3 6/9/2014 6/9/2017 NP 1/1/2015 Gen/Fam Practice

CHS - Shiland Family Medicine-

Fort Mill Pope Brian 704 Gold Hill Road Fort Mill PPC-PCMH 3 1/8/2012 1/8/2015 MD 1/1/2015 Gen/Fam Practice

CHS - Shiland Family Medicine-

Fort Mill Truesdale Dorenda 704 Gold Hill Road Fort Mill PPC-PCMH 3 1/8/2012 1/8/2015 MD 1/1/2015 Gen/Fam Practice

CHS - Shiland Family Medicine-

Fort Mill Ward Joyce 704 Gold Hill Road Fort Mill PPC-PCMH 3 1/8/2012 1/8/2015 MD 1/1/2015

Novant Health Barnhill Family

Medicine Barnhill Herbert 722 Hyatt Street, Suite A Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

Novant Health Limestone

Family Medicine Thompson Lori 104 Professional Park Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

Novant Health Peachview

Family Medicine Bland Susan 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

Novant Health Peachview

Family Medicine Morgan Donald 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

Novant Health Peachview

Family Medicine Nelson Doshandra 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

Novant Health Peachview

Family Medicine Ruffing Richard 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

Novant Health Peachview

Family Medicine Stroup Charles 722 Hyatt Street Gaffney PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

ReGenesis Health Care -

Gaffney Fox Monique 1604 N. Limestone St Gaffney PCMH 2 10/30/2014 10/30/2017 DO 1/1/2015 Pediatrics

ReGenesis Health Care -

Gaffney Ray Barbara 1604 N. Limestone St Gaffney PCMH 2 10/30/2014 10/30/2017 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Cherokee

Family Medicine of Gaffney Kaemmerlen Robert 1341 North Limestone Street Gaffney PPC-PCMH 3 6/19/2012 6/19/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Cherokee

Family Medicine of Gaffney Nazareno Marilu 1341 North Limestone Street Gaffney PPC-PCMH 3 6/19/2012 6/19/2015 MD 1/1/2015 Gen/Fam Practice

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Spartanburg Regional

Physicians Group - Internal

Medicine Associates of Gaffney DALE MICHAEL 139 Medical Center Drive Gaffney PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Internal

Medicine Associates of Gaffney Jones Douglas 139 Medical Center Drive Gaffney PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Internal

Medicine Associates of Gaffney KLICKMAN HOWARD 139 Medical Center Drive Gaffney PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

St. James Santee Family Health

Center - Choppee site Cooper Jane 8189 Choppee Rd Georgetown PCMH 1 3/2/2014 3/2/2017 FNP 1/1/2015 Gen/Fam Practice

St. James Santee Family Health

Center - Choppee site Daniels Alfred 8189 Choppee Rd Georgetown PCMH 1 3/2/2014 3/2/2017 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Crowfield Office Redmond Josephine Walker 7 S. Alliance Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Crowfield Office Stauffer Jack 7 S. Alliance Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Crowfield Office Sutterlin John 7 S. Alliance Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Goose Creek Office Viduya Sherry 105-A Springhall Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Goose Creek Office Yerich Caroline 105-A Springhall Drive Goose Creek PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Springhall Alford Diana 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Springhall Campbell Patricia 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Springhall Irwin Cheryl 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Springhall Tucker William 110-A Springhall Dr. Goose Creek PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Hanlin Robert 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine MacDonald Allan 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Mattox Lisa 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Stone Terrell 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Swartz Jeffery 877 W. Faris Road Greenville PPC-PCMH 1 3/16/2012 3/16/2015 MD 1/1/2015 Gen/Fam Practice

Center for Pediatric Medicine -

Center for Pediatric Medicine Buchanan April 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Catalana Paul 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Other – not listed

Center for Pediatric Medicine -

Center for Pediatric Medicine DAVIDS LOCHRANE 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Godlewski Janelle 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

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Center for Pediatric Medicine -

Center for Pediatric Medicine Golden Jill 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Henderson Nancy 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Other – not listed

Center for Pediatric Medicine -

Center for Pediatric Medicine Hudson Jennifer 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Kolarik Russ 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Kramer Allison 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 NP 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Maurer Joseph 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Okelly Amanda 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Patterson Doreen 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Saul Robert 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Center for Pediatric Medicine Sease Kerry 20 Medical Ridge Drive Greenville PCMH 3 11/4/2013 11/4/2016 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Pediatric Rapid Access Hill James 57 Cross Park Court Greenville PCMH 3 5/1/2014 5/1/2017 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

Pediatric Rapid Access Kanipe Susan 57 Cross Park Court Greenville PCMH 3 5/1/2014 5/1/2017 FNP 1/1/2015 Gen/Fam Practice

Center for Pediatric Medicine -

Pediatric Rapid Access Tyson Elizabeth 57 Cross Park Court Greenville PCMH 3 5/1/2014 5/1/2017 MD 1/1/2015 Pediatrics

Covenant Internal Medicine Cartledge Robert 10 Enterprise Blvd Greenville PCMH 2 12/18/2014 12/18/2017 MD 1/1/2015 Internal Medicine

Covenant Internal Medicine Mathias Reed 10 Enterprise Blvd Greenville PCMH 2 12/18/2014 12/18/2017 MD 1/1/2015 Internal Medicine

Covenant Internal Medicine Strahl Heather 10 Enterprise Blvd Greenville PCMH 2 12/18/2014 12/18/2017 PA 1/1/2015 Internal Medicine

Internal Medicine Clinic Byrd Jeremy 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 1/1/2015 Internal Medicine

Internal Medicine Clinic Dendy Nannette 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 1/1/2015 Internal Medicine

Internal Medicine Clinic Jindal Meenu 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 1/1/2015 Internal Medicine

Internal Medicine Clinic Kalema Anna 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 1/1/2015

Internal Medicine Clinic Kolarik Russ 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 1/1/2015 Pediatrics

Internal Medicine Clinic Patel Bhumika 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 1/1/2015

Internal Medicine Clinic Wess Mark 701 Grove Road Greenville PCMH 1 8/15/2013 8/15/2016 MD 1/1/2015 Internal Medicine

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Milestone Family Medicine Bennett Laine 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 FNP 1/1/2015 Gen/Fam Practice

Milestone Family Medicine Bridgeman, Jr. James 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 1/1/2015 Gen/Fam Practice

Milestone Family Medicine Derosa Joseph 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 1/1/2015 Gen/Fam Practice

Milestone Family Medicine Leland, Jr. Richard 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 1/1/2015 Gen/Fam Practice

Milestone Family Medicine Melba John 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 1/1/2015 Gen/Fam Practice

Milestone Family Medicine Pollard Jessica 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 1/1/2015 Gen/Fam Practice

Milestone Family Medicine Wallace James 12 Arborland Way Greenville PCMH 2 9/15/2012 9/15/2015 MD 1/1/2015 Gen/Fam Practice

Poinsett Family Practice Murphy David 2 Innovation Dr Suite 120 Greenville PCMH 2 1/2/2013 1/2/2016 MD 1/1/2015 Gen/Fam Practice

Poinsett Family Practice Newman Steven 2 Innovation Dr Suite 120 Greenville PCMH 2 1/2/2013 1/2/2016 MD 1/1/2015 Gen/Fam Practice

Poinsett Family Practice Torres Vincent 2 Innovation Dr Suite 120 Greenville PCMH 2 1/2/2013 1/2/2016 DO 1/1/2015 Gen/Fam Practice

Premier Family Medicine Benson Kathryn 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 3/20/2015 FNP 1/1/2015 Gen/Fam Practice

Premier Family Medicine Cecil Lindsey 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 3/20/2015 MD 1/1/2015 Gen/Fam Practice

Premier Family Medicine Hudson James 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 3/20/2015 MD 1/1/2015 Gen/Fam Practice

Premier Family Medicine King Elizabeth 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 3/20/2015 FNP 1/1/2015 Gen/Fam Practice

Premier Family Medicine Lombardi Milena 304 Ashby Park Lane Greenville PCMH 3 5/29/2012 3/20/2015 DO 1/1/2015 Gen/Fam Practice

Woodward Medical Center Bizzell Stacy 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

Woodward Medical Center Faris, jR. Henry 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

Woodward Medical Center Fridy W 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

Woodward Medical Center Gildersleeve Merrill 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

Woodward Medical Center Horton Miranda 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

Woodward Medical Center Lacy John 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

Woodward Medical Center Naidu Raana 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Gen/Fam Practice

Woodward Medical Center Treas April 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

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Woodward Medical Center Vry John 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Gen/Fam Practice

Woodward Medical Center Watson K 21 Aberdeen Drive Greenville PCMH 2 9/9/2012 9/9/2015 MD 1/1/2015 Internal Medicine

The Childrens Center Bonetti Juan 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 1/1/2015 Pediatrics

The Childrens Center Feole Glenn 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 1/1/2015 Pediatrics

The Childrens Center Harrison Melodie 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 1/1/2015 Pediatrics

The Childrens Center O'DELL ANGELA 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 FNP 1/1/2015 Pediatrics

The Childrens Center Platt Cheryl 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 PNP 1/1/2015 Pediatrics

The Childrens Center Walston Amber 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 NP 1/1/2015 Pediatrics

The Childrens Center Whitley Vernon 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 MD 1/1/2015 Pediatrics

The Childrens Center Wulfekotte Brenda 113 Liner Drive Greenwood PCMH 2 11/24/2013 11/24/2016 FNP 1/1/2015 Pediatrics

Doctors Family Medicine Chappell Michael 3115D Brushy Creek Rd Greer PCMH 3 11/27/2013 11/27/2016 MD 1/1/2015 Gen/Fam Practice

Doctors Family Medicine Hester Benjamin 3115D Brushy Creek Rd Greer PCMH 3 11/27/2013 11/27/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Phyiscians- Hampton Egan Christopher 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Phyiscians- Hampton Rivers Celine 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Phyiscians- Hampton Vega Luis 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Phyiscians- Hampton Vega Rosita 300 Maple St. West Hampton PCMH 3 10/30/2013 10/30/2016 MD 1/1/2015 Pediatrics

Colonial Family Practice -

Hartsville Location Long William 420 West Carolina Avenue Hartsville PCMH 3 5/13/2014 5/13/2017 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Hartsville Location Ropp John 420 West Carolina Avenue Hartsville PCMH 3 5/13/2014 5/13/2017 MD 1/1/2015 Gen/Fam Practice

RMC Primary Care- Holly Hill Allie Adam 187 Bunch Ford Road Holly Hill PCMH 2 7/9/2014 7/9/2017 MD 1/1/2015 Gen/Fam Practice

RMC Primary Care- Holly Hill Bennett Antionette 187 Bunch Ford Road Holly Hill PCMH 2 7/9/2014 7/9/2017 MD 1/1/2015 Gen/Fam Practice

RMC Primary Care- Holly Hill Simons Constance 187 Bunch Ford Road Holly Hill PCMH 2 7/9/2014 7/9/2017 FNP 1/1/2015

Novant Health Indian Land

Primary Care Thomas William 7580 Charlotte Highway Indian Land PPC-PCMH 3 9/1/2012 9/1/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Inman

Family Practice Esposito Patrick 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

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Spartanburg Regional

Physicians Group - Inman

Family Practice Hudson Joy 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Inman

Family Practice Kaur Poonaminder 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Inman

Family Practice Rop Timothy 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Inman

Family Practice Taylor Benjamin 12230 Asheville Highway Inman PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gastroenterology

Sandhills Pediatrics - Dutch Fork O’Leary Melinda 7941 Broad River Road Irmo PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Dutch Fork Todd Marc 7941 Broad River Road Irmo PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Dutch Fork Whitaker Robert 7941 Broad River Road Irmo PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Three Rivers Medical Associates

- Irmo - Palmetto Health Abdulrahman Amjad 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Three Rivers Medical Associates

- Irmo - Palmetto Health Bridgers David 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Other – not listed

Three Rivers Medical Associates

- Irmo - Palmetto Health Browning Rosalie 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Three Rivers Medical Associates

- Irmo - Palmetto Health Hite Louis 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Three Rivers Medical Associates

- Irmo - Palmetto Health Holmes Louise 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 NP 1/1/2015 Internal Medicine

Three Rivers Medical Associates

- Irmo - Palmetto Health LeBel Elizabeth 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 MD 1/1/2015 Internal Medicine

Three Rivers Medical Associates

- Irmo - Palmetto Health Schumacher Sarah 7430 College Street Irmo PCMH 2 3/2/2014 3/2/2017 DO 1/1/2015 Gen/Fam Practice

James Island Primary Care Bolus Kathy 490 Martello Drive James Island PCMH 2 8/11/2014 8/11/2017 MD 1/1/2015 Internal Medicine

James Island Primary Care Gilbreth Edward 490 Martello Drive James Island PCMH 2 8/11/2014 8/11/2017 MD 1/1/2015 Internal Medicine

James Island Primary Care McGough Jon 490 Martello Drive James Island PCMH 2 8/11/2014 8/11/2017 MD 1/1/2015 Internal Medicine

Sandhills Medical Foundation

Inc. - Jefferson Medical Office Maxwell Crystal 409 E Church St Jefferson PCMH 3 7/24/2013 7/24/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians-Lake City Atkinson Ernest 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians-Lake City Ellis Richard 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians-Lake City Lamb Benjamin 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians-Lake City Mims Albert 148 Sauls St Lake City PCMH 3 10/30/2013 10/30/2016 MD 1/1/2015 Gen/Fam Practice

CaroMont Medical Group-CFM

Lake Wylie Bechtel Mark 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 DO 1/1/2015 Gen/Fam Practice

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CaroMont Medical Group-CFM

Lake Wylie Burns Kristen 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 FNP 1/1/2015 Gen/Fam Practice

CaroMont Medical Group-CFM

Lake Wylie McShea Joseph 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 DO 1/1/2015 Gen/Fam Practice

CaroMont Medical Group-CFM

Lake Wylie Pritchett Pamela 1200 Village Harbor Drive Lake Wylie PCMH 3 5/1/2014 5/1/2017 FNP 1/1/2015 Gen/Fam Practice

Mackey Family Practice Culp Steven 1025 W. Meeting St, Ste 200 Lancaster PCMH 2 12/26/2014 12/26/2017 MD 1/1/2015 Gen/Fam Practice

Mackey Family Practice Daily Linda 1025 W. Meeting St, Ste 200 Lancaster PCMH 2 12/26/2014 12/26/2017 MD 1/1/2015 Internal Medicine

Mackey Family Practice Lingoes Paul 1025 W. Meeting St, Ste 200 Lancaster PCMH 2 12/26/2014 12/26/2017 MD 1/1/2015 Gen/Fam Practice

Mackey Family Practice Sharp Frank 1025 W. Meeting St, Ste 200 Lancaster PCMH 2 12/26/2014 12/26/2017 MD 1/1/2015 Gen/Fam Practice

Mackey Family Practice Shealy Keith 1025 W. Meeting St, Ste 200 Lancaster PCMH 2 12/26/2014 12/26/2017 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians of Landrum Bridges Kimberly 133 North Howard Avenue Landrum PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians of Landrum Nash Erin 133 North Howard Avenue Landrum PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Physicians of Landrum Walter Cornelius 133 North Howard Avenue Landrum PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Lakeview

Family Medicine Harman William 1316 North Lake Drive Lexington PCMH 3 10/17/2013 11/21/2015 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Lakeview

Family Medicine Taylor Scarlet 1316 North Lake Drive Lexington PCMH 3 10/17/2013 11/21/2015 MD 1/1/2015 Gen/Fam Practice

Palmetto Health Lakeview

Family Medicine Witherspoon Alexandra 1316 North Lake Drive Lexington PCMH 3 10/17/2013 11/21/2015 MD 1/1/2015 Gen/Fam Practice

Sandhills Pediatrics - Lexington Cope Bruce 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Lexington Powell Katherine 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Lexington Smith Leah Lane 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Sandhills Pediatrics - Lexington Thomas Christie 4568 Sunset Blvd Lexington PCMH 3 2/11/2014 2/11/2017 MD 1/1/2015 Pediatrics

Twelve Mile Creek Family

Medicine Wallace Timothy 4711 Sunset Boulevard Lexington PCMH 2 11/19/2012 11/19/2015 DO 1/1/2015 Gen/Fam Practice

Twelve Mile Creek Family

Medicine Wenner Allen 4711 Sunset Boulevard Lexington PCMH 2 11/19/2012 11/19/2015 MD 1/1/2015 Gen/Fam Practice

Twelve Mile Creek Family

Medicine Williams James 4711 Sunset Boulevard Lexington PCMH 2 11/19/2012 11/19/2015 MD 1/1/2015 Gen/Fam Practice

Lugoff Medical Office Alderson Theresa

Lugoff Medical Office of

Sandhills Medical Foundation,

Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Pediatrics

Lugoff Medical Office Anderson Katherine

Lugoff Medical Office of

Sandhills Medical Foundation,

Inc Lugoff PCMH 3 7/30/2013 7/30/2016 PA 1/1/2015 Gen/Fam Practice

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Lugoff Medical Office Clyburn Karen

Lugoff Medical Office of

Sandhills Medical Foundation,

Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Gen/Fam Practice

Lugoff Medical Office Minhas Meha

Lugoff Medical Office of

Sandhills Medical Foundation,

Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Internal Medicine

Lugoff Medical Office Olatosi Akinwale

Lugoff Medical Office of

Sandhills Medical Foundation,

Inc Lugoff PCMH 3 7/30/2013 7/30/2016 MD 1/1/2015 Infectious Disease

Lugoff Medical Office Porter Cathy

Lugoff Medical Office of

Sandhills Medical Foundation,

Inc Lugoff PCMH 3 7/30/2013 7/30/2016 FNP 1/1/2015 Gen/Fam Practice

Lugoff Medical Office Thompson David

Lugoff Medical Office of

Sandhills Medical Foundation,

Inc Lugoff PCMH 3 7/30/2013 7/30/2016 NP 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Manning Location Aldrich William 1036 Professional Court Manning PCMH 3 5/13/2014 5/13/2017 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Moncks Corner

Office Adams Tabatha

Palmetto Primary Care

Physicians-Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Moncks Corner

Office Floyd Meredith

Palmetto Primary Care

Physicians-Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Moncks Corner

Office Hogue Caisson

Palmetto Primary Care

Physicians-Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Moncks Corner

Office Jones Edward

Palmetto Primary Care

Physicians-Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Internal Medicine

Palmetto Primary Care

Physicians - Moncks Corner

Office Sanchez Amanda

Palmetto Primary Care

Physicians-Moncks Corner Moncks Corner PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Coastal Pediatric Associates -

Mount Pleasant Caristi Kimberly 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Garrett Kristen 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 PNP 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Graham William 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Gunselman Mary Jo 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 NP 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Kelley Kathleen 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 PNP 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Kirlis Elizabeth 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Lee Franklin 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Mims Keaton 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 PNP 1/1/2015 Pediatrics

Coastal Pediatric Associates -

Mount Pleasant Stripling Stephen 1952 Long Grove Drive

Mount

Pleasant PCMH 3 5/9/2014 5/9/2017 MD 1/1/2015 Pediatrics

East Cooper Primary Care McDonald John 1208 Two Island Court

Mount

Pleasant PCMH 2 2/4/2014 2/4/2017 MD 1/1/2015 Internal Medicine

East Cooper Primary Care Rubano Judy 1208 Two Island Court

Mount

Pleasant PCMH 2 2/4/2014 2/4/2017 MD 1/1/2015 Internal Medicine

Park West Primary Care Alexander Carrie 1113 Park West Blvd.

Mount

Pleasant PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

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Park West Primary Care Lentsch Kristi 1113 Park West Blvd.

Mount

Pleasant PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

MUSC Physicians Primary Care -

Midtown Family Medicine Igbokwe-Hamilton Ashleigh 1600 Midtown Avenue Mt. Pleasant PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Gen/Fam Practice

MUSC Physicians Primary Care -

Midtown Family Medicine Perron Gregory 1600 Midtown Avenue Mt. Pleasant PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Gen/Fam Practice

Little River Medical Center, Inc. -

Myrtle Beach Garland Thomas 7724 N. Kings Highway Myrtle Beach PCMH 2 7/30/2014 7/30/2017 MD 1/1/2015 Gen/Fam Practice

Little River Medical Center, Inc. -

Myrtle Beach Lopez Andrea 7724 N. Kings Highway Myrtle Beach PCMH 2 7/30/2014 7/30/2017 MD 1/1/2015 Pediatrics

Little River Medical Center, Inc. -

Myrtle Beach Nabong-Nillas Maristela 7724 N. Kings Highway Myrtle Beach PCMH 2 7/30/2014 7/30/2017 MD 1/1/2015 Pediatrics

Edisto - North Family Medicine Breazeale Denise 4631 Savannah Highway North PCMH 3 7/9/2014 7/9/2017 ANP 1/1/2015 Gen/Fam Practice

Coosaw Primary Care Jenkins Shantae 8471 Dorchester Road

North

Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

Coosaw Primary Care Walsh Lyle 8471 Dorchester Road

North

Charleston PCMH 2 6/25/2014 6/25/2017 MD 1/1/2015 Internal Medicine

Franklin C. Fetter - Enterprise

Pediatrics Slaughter Sharvette 2047 Comstock Ave

North

Charleston PCMH 1 12/23/2013 12/23/2016 MD 1/1/2015 Pediatrics

Palmetto Primary Care

Physicinas- Trident Arnau Thomas 9313 Medical Plaza Dr. Ste 202

North

Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicinas- Trident Bolt Thomas 9313 Medical Plaza Dr. Ste 202

North

Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicinas- Trident Dewhirst Brian 9313 Medical Plaza Dr. Ste 202

North

Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicinas- Trident MacLeod Alison 9313 Medical Plaza Dr. Ste 202

North

Charleston PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicinas- Trident Thompson Gordon 9313 Medical Plaza Dr. Ste 202

North

Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicinas- Trident Vandegrift Tara 9313 Medical Plaza Dr. Ste 202

North

Charleston PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicinas- Trident Varella Robin 9313 Medical Plaza Dr. Ste 202

North

Charleston PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Edisto - RMC Family Practice -

Carolina Avenue Hayden John 1619 Carolina Avenue Orangeburg PCMH 3 7/9/2014 7/9/2017 MD 1/1/2015 Gen/Fam Practice

Edisto - RMC Family Practice -

Carolina Avenue Weaver Stacy 1619 Carolina Avenue Orangeburg PCMH 3 7/9/2014 7/9/2017 PA 1/1/2015 Gen/Fam Practice

RMC Primary Care - Annex Chan Kam 1170 Boulevard Orangeburg PCMH 3 7/9/2014 7/9/2017 MD 1/1/2015 Gen/Fam Practice

RMC Primary Care - Annex Dixon Woodward 1170 Boulevard Orangeburg PCMH 3 7/9/2014 7/9/2017 MD 1/1/2015 Gen/Fam Practice

RMC Primary Care - Annex Mann Richard 1170 Boulevard Orangeburg PCMH 3 7/9/2014 7/9/2017 ANP 1/1/2015 Gen/Fam Practice

RMC Primary Care - Annex Sheppard Melanie 1170 Boulevard Orangeburg PCMH 3 7/9/2014 7/9/2017 PA 1/1/2015 Gen/Fam Practice

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RMC Primary Care- Village Castellano Erin 1750 Village Park Drive Orangeburg PCMH 2 7/12/2014 7/12/2017 MD 1/1/2015 Gen/Fam Practice

RMC Primary Care- Village Crickman Sarah 1750 Village Park Drive Orangeburg PCMH 2 7/12/2014 7/12/2017 MD 1/1/2015 Gen/Fam Practice

RMC Primary Care- Village Li Yongxin 1750 Village Park Drive Orangeburg PCMH 2 7/12/2014 7/12/2017 MD 1/1/2015 Gen/Fam Practice

Singleton Health Center Grossman Margaret 1773 Village Park Dr Orangeburg PCMH 2 11/1/2013 11/1/2016 DO 1/1/2015

Singleton Health Center Singleton Monnieque 1773 Village Park Dr Orangeburg PCMH 2 11/1/2013 11/1/2016 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Pacolet

Family Medicine BISHOP PRESTON 7221 South Pine Street Pacolet PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Pacolet

Family Medicine Klosterman Kameron 7221 South Pine Street Pacolet PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Wren Family

Medicine (2) Kyker Kimberly 6650 Highway 81 N Piedmont PCMH 3 11/4/2014 11/4/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Wren Family

Medicine (2) Mulvihill Joseph 6650 Highway 81 N Piedmont PCMH 3 11/4/2014 11/4/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Wren Family

Medicine (2) Seemuller Michael 6650 Highway 81 N Piedmont PCMH 3 11/4/2014 11/4/2017 MD 1/1/2015 Gen/Fam Practice

Piedmont Family Practice Bruce Jackson 115 Beattie Park Rd. Piedmont PCMH 3 11/12/2013 11/12/2015 MD 1/1/2015 Gen/Fam Practice

Piedmont Family Practice Garand Joseph 115 Beattie Park Rd. Piedmont PCMH 3 11/12/2013 11/12/2015 MD 1/1/2015 Gen/Fam Practice

Piedmont Family Practice Sloan John 115 Beattie Park Rd. Piedmont PCMH 3 11/12/2013 11/12/2015 MD 1/1/2015 Gen/Fam Practice

Beaufort-Jasper-Hampton

Comprehensive Health Services,

Inc. Supan Samai P.O. Box 357 Ridgeland PCMH 3 4/14/2014 4/14/2017 MD 1/1/2015 Gen/Fam Practice

Novant Medical Group (5) -

Novant Health Rock Hill Family

Medicine Gunter Richard 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 1/1/2015 Gen/Fam Practice

Novant Medical Group (5) -

Novant Health Rock Hill Family

Medicine Marion Malcolm 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 1/1/2015 Gen/Fam Practice

Novant Medical Group (5) -

Novant Health Rock Hill Family

Medicine Oehme Stephen 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 1/1/2015 Gen/Fam Practice

Novant Medical Group (5) -

Novant Health Rock Hill Family

Medicine Tuttle Nicholas 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 1/1/2015 Gen/Fam Practice

Novant Medical Group (5) -

Novant Health Rock Hill Family

Medicine White George 1435 Ebenezer Road Rock Hill PCMH 3 2/14/2014 2/14/2017 MD 1/1/2015 Gen/Fam Practice

Medical Center of Santee Singleton Monnieque 500 Bass Ddrive Santee PCMH 1 6/4/2014 6/4/2017 MD 1/1/2015 Gen/Fam Practice

Lakeview Internal Medicine Fiorentino Carmine 223 Main Street Seneca PCMH 3 11/9/2014 11/9/2017 MD 1/1/2015 Internal Medicine

Hillcrest Family Practice Broker Robert 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 1/1/2015 Gen/Fam Practice

Hillcrest Family Practice Ellis Jennifer 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 1/1/2015 Gen/Fam Practice

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Hillcrest Family Practice Heidt Francis 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 1/1/2015 Gen/Fam Practice

Hillcrest Family Practice Johnson Gretchen 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 1/1/2015 Gen/Fam Practice

Hillcrest Family Practice Lewis Katherine 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 1/1/2015 Gen/Fam Practice

Hillcrest Family Practice Silkiner David 717 SE Main St Simpsonville PCMH 2 7/14/2013 7/14/2016 MD 1/1/2015 Gen/Fam Practice

Parkside Pediatrics Anderson Erika 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Atkins Caroline 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 PA 1/1/2015 Pediatrics

Parkside Pediatrics Bessom Bethany 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Dobson Scott 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Dukes Daniel 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Hipp Elizabeth 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Jones Stephen 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Moll Justin 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Roemmich Todd 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Parkside Pediatrics Slyder Joyce 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 FNP 1/1/2015 Pediatrics

Parkside Pediatrics Woodlief Rebecca 211 Batesville Road Simpsonville PCMH 3 3/9/2014 8/5/2016 MD 1/1/2015 Pediatrics

Simpsonville Family Medicine Dillon Paul 1336 Highway 14 Simpsonville PCMH 2 9/17/2013 9/17/2016 MD 1/1/2015 Gen/Fam Practice

Simpsonville Family Medicine Lopez Alberto 1336 Highway 14 Simpsonville PCMH 2 9/17/2013 9/17/2016 MD 1/1/2015 Gen/Fam Practice

Simpsonville Family Medicine Miranda Susan 1336 Highway 14 Simpsonville PCMH 2 9/17/2013 9/17/2016 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group -Village

Family Medicine SMITH CHRISTOPHER 219 Batesville Rd Simpsonville PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group -Village

Family Medicine Ulmer Enoch 219 Batesville Rd Simpsonville PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Bouknight Patricia 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Boyle Ginger 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Godenick Mark 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 1/1/2015 Gen/Fam Practice

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Center for Family Medicine Houston Robert 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Januchowski Ronald 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 DO 1/1/2015 Gen/Fam Practice

Center for Family Medicine Klosterman Scott 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 DO 1/1/2015 Gen/Fam Practice

Center for Family Medicine McDonald Robert 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 1/1/2015 Gen/Fam Practice

Center for Family Medicine Simon Ifekan-Shango 853 North Church Street Spartanburg PPC-PCMH 3 2/24/2012 2/24/2015 MD 1/1/2015 Gen/Fam Practice

ReGenesis Health Care -

Spartanburg Butler Margot 750 S. Church St Spartanburg PCMH 2 4/27/2014 4/27/2017 MD 1/1/2015 Pediatrics

ReGenesis Health Care -

Spartanburg Hammett Adam 750 S. Church St Spartanburg PCMH 2 4/27/2014 4/27/2017 NP 1/1/2015 Gen/Fam Practice

ReGenesis Health Care -

Spartanburg Jones Doralyn 750 S. Church St Spartanburg PCMH 2 4/27/2014 4/27/2017 MD 1/1/2015 Gen/Fam Practice

Skylyn Medical Associates, PA Slater Vincent 1776 Skylyn Drive Spartanburg PPC-PCMH 1 2/28/2012 2/28/2015 DO 1/1/2015 Gen/Fam Practice

Skylyn Medical Associates, PA Ware Larry 1776 Skylyn Drive Spartanburg PPC-PCMH 1 2/28/2012 2/28/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional Physcians

Group - Palmetto Pediatrics-

West Kavanagh Julie 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional Physcians

Group - Palmetto Pediatrics-

West Mahaffey Shelley 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional Physcians

Group - Palmetto Pediatrics-

West Parra Marcia 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional Physcians

Group - Palmetto Pediatrics-

West Smith Donna 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional Physcians

Group - Palmetto Pediatrics-

West Yelton John 8311 Warren H. Abernathy Hwy Spartanburg PPC-PCMH 3 6/19/2012 6/19/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Palmetto

Pediatrics- North Grove Daley Bradley

1330 Boiling Springs Rd Suite

1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Palmetto

Pediatrics- North Grove Daley Luci

1330 Boiling Springs Rd Suite

1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Palmetto

Pediatrics- North Grove Kidwai Asif

1330 Boiling Springs Rd Suite

1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Palmetto

Pediatrics- North Grove Mistr Ernest

1330 Boiling Springs Rd Suite

1300 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Regional

Pediatric Services Bungarz William 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Regional

Pediatric Services Jurs Dennis 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Regional

Pediatric Services MacAtuno Edifel 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

Spartanburg Regional

Physicians Group - Regional

Pediatric Services Monaghan Suzanne 853 North Church Street Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Pediatrics

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Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine Babushkina Victoria 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine Brown James 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine Craft Jeffrey 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine DAVENPORT PAMELA 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine GABEL DOROTEA 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine Hassan Rifat 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine Llewelyn Timothy 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine Pickens Charles 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group - Spartanburg

Internal Medicine Reid, Jr. Samuel 100 East Wood Street suite 401 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Internal Medicine

Spartanburg Regional

Physicians Group -

Westmoreland, Hicklin, Coley Coley Scott 120 Heywood Avenue Suite 200 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group -

Westmoreland, Hicklin, Coley GAINEY JAMES 120 Heywood Avenue Suite 200 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group -

Westmoreland, Hicklin, Coley Westmoreland Thomas 120 Heywood Avenue Suite 200 Spartanburg PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice

Westside Internal Medicine Patel Pranay 3070 Reidville Rd spartanburg PPC-PCMH 3 11/8/2013 2/28/2015 MD 1/1/2015 Internal Medicine

Edisto - St. Matthews Primary

Care Braswell William 725 Harry C. Raysor Drive St. Matthews PCMH 2 7/23/2014 7/23/2017 MD 1/1/2015 Gen/Fam Practice

Edisto - St. Matthews Primary

Care McLauchlin Sarah 725 Harry C. Raysor Drive St. Matthews PCMH 2 7/23/2014 7/23/2017 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - St. Stephens Office Schumann, Jr. Samuel 104 Funk Avenue St. Stephens PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Gum Street Office Katz Barry 412 N. Gum Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Laurel Office Montoya Sara 507 N. Laurel Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Oakbrook Office Anthony Heather 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Oakbrook Office Engelman Otis 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Oakbrook Office Giove Edward 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 DO 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Oakbrook Office Palo Jennifer 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Oakbrook Office Tabor Marcella 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 DO 1/1/2015 Gen/Fam Practice

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Palmetto Primary Care

Physicians - Oakbrook Office Tatum Heidi 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Oakbrook Office Valvo Melanie 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Oakbrook Office Weathers Suzann 87 Springview Lane Summerville PCMH 3 6/18/2013 6/18/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Pine Office Keller Brian 404 North Pine St Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians - Pine Office Rogers Sarah Ann 404 North Pine St Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Summerville Berry - Taylor Deborah 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Summerville Castellone David 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Summerville Dawson Claudius 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Summerville Engler Sandi 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 PA 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- Summerville Young Amy 213 West 4th North Street Summerville PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- West 8th Black Amy 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- West 8th Deberry Skye 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 MD 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- West 8th Howard Karen 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Palmetto Primary Care

Physicians- West 8th Woods Marci 102-A West 8th North St. Summerville PCMH 3 8/13/2013 8/13/2016 FNP 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Location 2 Mahr Christopher 220 Broad Street Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Location 2 Stewart Ike 220 Broad Street Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Pediatrics Location Rivers Hanna 742 W. Liberty Street Sumter PCMH 3 5/13/2014 5/13/2017 NP 1/1/2015 Gen/Fam Practice

Colonial Family Practice -

Pediatrics Location Rollins Kristen 742 W. Liberty Street Sumter PCMH 3 5/13/2014 5/13/2017 MD 1/1/2015 Pediatrics

Colonial Family Practice -

Wesmark Location Grecco Charlotte 308 W. Wesmark Blvd. Sumter PCMH 3 12/20/2013 12/20/2016 ANP 1/1/2015 Other – not listed

Colonial Family Practice -

Wesmark Location Hutson Cynthia 308 W. Wesmark Blvd. Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice - West

Liberty Location Fisher Bret 764 Sumter PCMH 3 5/13/2014 5/13/2017 DO 1/1/2015 Internal Medicine

Colonial Family Practice, LLC -

Main Location Grunsky Mitchell 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice, LLC -

Main Location Leonard Jason 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

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Colonial Family Practice, LLC -

Main Location Lowder Clayton 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice, LLC -

Main Location Lucas Thomas 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Colonial Family Practice, LLC -

Main Location Whaley David 325 Broad Street Suite 100 Sumter PCMH 3 12/20/2013 12/20/2016 MD 1/1/2015 Gen/Fam Practice

Center for Pediatric Medicine -

North Greenville Outpatient

Center Bhatia Erin 807 N. Main Street Travelers Rest PCMH 3 5/1/2014 5/1/2017 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

North Greenville Outpatient

Center Burton Elizabeth 807 N. Main Street Travelers Rest PCMH 3 5/1/2014 5/1/2017 MD 1/1/2015 Pediatrics

Center for Pediatric Medicine -

North Greenville Outpatient

Center Millon Angela 807 N. Main Street Travelers Rest PCMH 3 5/1/2014 5/1/2017 MD 1/1/2015 Pediatrics

New Horizon Family Health

Services - Slater Bapat Mary 1588 Geer Highway Travelers Rest PCMH 3 9/12/2014 12/12/2016 MD 1/1/2015 Gen/Fam Practice

New Horizon Family Health

Services - Slater Cotter Deanna 1588 Geer Highway Travelers Rest PCMH 3 9/12/2014 12/12/2016 MD 1/1/2015 Gen/Fam Practice

New Horizon Family Health

Services - Slater Cotter John 1588 Geer Highway Travelers Rest PCMH 3 9/12/2014 12/12/2016 MD 1/1/2015 Gen/Fam Practice

Markowitz and Associates-

Palmetto Health Markowitz Jay 103 Saluda Ridge Court West Columbia PCMH 3 7/1/2013 7/1/2016 MD 1/1/2015 Internal Medicine

Markowitz and Associates-

Palmetto Health Markowitz Michael 103 Saluda Ridge Court West Columbia PCMH 3 7/1/2013 7/1/2016 MD 1/1/2015 Internal Medicine

Markowitz and Associates-

Palmetto Health Seawright Tanya 103 Saluda Ridge Court West Columbia PCMH 3 7/1/2013 7/1/2016 MD 1/1/2015 Internal Medicine

Golden Corner Family Practice Booker Christina 1205 N. Hwy. 11 West Union PCMH 1 1/23/2013 1/23/2016 MD 1/1/2015 Gen/Fam Practice

Golden Corner Family Practice Booker, Jr. Edward 1205 N. Hwy. 11 West Union PCMH 1 1/23/2013 1/23/2016 MD 1/1/2015 Gen/Fam Practice

Golden Corner Family Practice Booker, Sr. Edward 1205 N. Hwy. 11 West Union PCMH 1 1/23/2013 1/23/2016 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Williamston

Family Medicine (2) Roehrs Matthew 16 Roberts Boulevard Williamston PCMH 3 8/21/2014 8/21/2017 MD 1/1/2015 Gen/Fam Practice

AnMed Health - Williamston

Family Medicine (2) Williams James 16 Roberts Boulevard Williamston PCMH 3 8/21/2014 8/21/2017 MD 1/1/2015 Gen/Fam Practice

Fairfield Medical Associates -

Primary Office Barnett Steven 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 1/1/2015 Gen/Fam Practice

Fairfield Medical Associates -

Primary Office Gaddy Roger 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 1/1/2015 Gen/Fam Practice

Fairfield Medical Associates -

Primary Office Grosslight Susan 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 FNP 1/1/2015 Gen/Fam Practice

Fairfield Medical Associates -

Primary Office May Evelyn 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 FNP 1/1/2015 Gen/Fam Practice

Fairfield Medical Associates -

Primary Office Patrick Harmon 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 1/1/2015 Gen/Fam Practice

Fairfield Medical Associates -

Primary Office Stuck Deborah 880 West Moultrie Street Winnsboro PCMH 3 2/19/2014 2/19/2017 MD 1/1/2015 Gen/Fam Practice

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ReGenesis Health Care -

Woodruff Delfino Matthew 220 Irby Street Woodruff PCMH 2 6/10/2014 6/10/2017 MD 1/1/2015 Gen/Fam Practice

ReGenesis Health Care -

Woodruff Esquivel Heather 220 Irby Street Woodruff PCMH 2 6/10/2014 6/10/2017 MD 1/1/2015 Gen/Fam Practice

Spartanburg Regional

Physicians Group - Family

Practice of Woodruff Gragg James 511 Cross Anchor Rd Woodruff PPC-PCMH 3 8/6/2012 8/6/2015 MD 1/1/2015 Gen/Fam Practice