Latonya Brailsford · 4605 Monticello Rd B, Columbia, SC 29203-4156 · Nurse Practitioner · Eau Claire Cooperative Health Center, Inc. (2024)

Medicare Doctors and Clinicians

8037140266 · Nurse Practitioner · 4605 Monticello Rd B, Columbia, SC 29203-4156

Overview

Latonya Brailsford is a nurse practitioner enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.. The business address is 4605 Monticello Rd B, Columbia, SC 29203-4156. Published on November 9, 2022.

Enrollment Information

NPI 1003205808 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
PAC ID 0547637258 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20221109003523
Full Name LATONYA BRAILSFORD
Gender F
Graduation Year 2022
Primary Specialty NURSE PRACTITIONER
Organization Legal Name EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Group Practice PAC ID 3274434220
Number of Group Practice Members 35
Address 4605 Monticello Rd B
Columbia
SC 29203-4156
Telephone 8037140266
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1003205808 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
Provider Name LATONYA BRAILSFORD
Address 4605 Monticello Rd Ste 2
Columbia
SC 29203-4156
Taxonomy Code 363LF0000X
Enumeration Date 2015-01-16

Organization Information

Organization Legal Name EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Address 4605 Monticello Rd B
Columbia
SC 29203-4156
Telephone 8037140266

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Heather Schneider Miles Nurse PractitionerEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Amber A Flanigan Clinical Social WorkerEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Keionda C Caldwell Nurse PractitionerEau Claire Cooperative Health Center, Inc.4605 Monticello Rd B, Columbia, SC 29203-4156
Charlie Wofford Family PracticeEau Claire Cooperative Health Center, Inc.755 Us Hwy 21 S, Ridgeway, SC 29130-6844
Jamilya A Swygert Nurse PractitionerEau Claire Cooperative Health Center, Inc.407 N Brown St, West Columbia, SC 29169-5710
Adelero Olayinka Adebajo Internal MedicineEau Claire Cooperative Health Center, Inc.1520 Laurel St, Columbia, SC 29201-2623
Tiffany L Gethers Nurse PractitionerEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Tonia Wood Nurse PractitionerEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Tabitha Jones Garner Nurse PractitionerEau Claire Cooperative Health Center, Inc.1115 State St, Cayce, SC 29033-4342
Dwayne Aubrey Jacobus PodiatryEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Find all doctors with the same organization

Location Information

Street Address 4605 MONTICELLO RD B
City COLUMBIA
State SC
Zip Code 29203-4156

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Kathleen Elaine Heer Obstetrics/GynecologyEau Claire Cooperative Health Center, Inc.4605 Monticello Rd B, Columbia, SC 29203-4156
Julie L Brasher Nurse PractitionerEau Claire Cooperative Health Center, Inc.4605 Monticello Rd B, Columbia, SC 29203-4156
Lauren E Golden Nurse PractitionerEau Claire Cooperative Health Center, Inc.4605 Monticello Rd B, Columbia, SC 29203-4156
Keionda C Caldwell Nurse PractitionerEau Claire Cooperative Health Center, Inc.4605 Monticello Rd B, Columbia, SC 29203-4156
Ada D Stewart Family PracticeEau Claire Cooperative Health Center, Inc.4605 Monticello Rd B, Columbia, SC 29203-4156
Deborah J Davis Obstetrics/GynecologyEau Claire Cooperative Health Center, Inc.4605 Monticello Rd B, Columbia, SC 29203-4156

Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Janet L Douglass Nurse PractitionerEau Claire Cooperative Health Center, Inc.4605 Monticello Rd, Bldg C, Columbia, SC 29203-4156
Eric M Schlueter Family PracticeEau Claire Cooperative Health Center, Inc.4605 Monticello Rd, Columbia, SC 29203-4156
Maureen O Nwajiaku Nurse PractitionerEau Claire Cooperative Health Center, Inc.4605 Monticello Rd, Columbia, SC 29203-4156
Danny Charles Smith Family PracticeEau Claire Cooperative Health Center, Inc.4605 Monticello Rd, Columbia, SC 29203-4156
Sri N Arora Internal MedicineEau Claire Cooperative Health Center, Inc4605 Monticello Rd, Columbia, SC 29203-4156

Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
William B Lindsey HospitalistPrisma Health Medical Group-MidlandsTaylor At Marion St, Columbia, SC 29203-2145
David M Allen PsychiatrySouth Carolina Dept of Mental Health Accounting Office220 Faison Dr, Columbia, SC 29203-3210
Lawrence K Siegel Pediatric MedicineUniversity Pediatrics9 Medical Park, Columbia, SC 29203
Charles W Derrick Jr. Pediatric MedicineUniversity Pediatrics9 Medical Park, Columbia, SC 29203
Luther C Williams Cardiovascular Disease (cardiology)University Pediatrics9 Medical Park, Columbia, SC 29203
Matthew M Wienecke Cardiovascular Disease (cardiology)University Pediatrics9 Medical Park, Suite 110, Columbia, SC 29203
Julia B Ballance Pediatric MedicineUniversity Pediatrics14 Medical Park, Columbia, SC 29203
Michael L Cross PsychiatrySouth Carolina Dept of Mental Health Accounting Office220 Faison Dr, Columbia, SC 29203-3210
Stephanie E Averette Nurse PractitionerSouth Carolina Dept of Mental Health Accounting Office220 Faison Dr, Columbia, SC 29203-3210
Rebecca Tummons Family PracticeSouth Carolina Dept of Mental Health Accounting Office220 Faison Dr, Columbia, SC 29203-3210
Find all doctors in the same zip code

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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider Centers for Medicare & Medicaid Services (CMS)
Source data.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Latonya Brailsford · 4605 Monticello Rd B, Columbia, SC 29203-4156 · Nurse Practitioner · Eau Claire Cooperative Health Center, Inc. (2024)

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