Look up the most recent NPI and PECOS records

University Medical Associates Of Aiken Pa

Family Medicine

Allopathic & Osteopathic Physicians

5110 Woodside Executive Ct, Aiken, SC 29803-3814

PECOS Enrollment

Based on the most recent information from CMS, provider University Medical Associates Of Aiken Pa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1770502734
Provider Type
Organization
Full Name
University Medical Associates Of Aiken Pa

Subpart
No
Enumeration Date
7/19/2006
Last Updated
11/4/2020

Contact Information

Practice Location

5110 Woodside Executive Ct, Aiken, SC 29803-3814

(803) 643-0588

(803) 643-1776

Mailing Location

934 Dougherty Rd, Aiken, SC 29803-6515

(803) 643-0588

(803) 643-1776

Authorized Official

Youmans, Stephen C (Physician)

(803) 643-0588

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID GP2778	Description Medicaid	Issuer Unlisted South Carolina

University Medical Associates Of Aiken Pa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Doctors Care Sc, Pa

Zimmerman, David Wayne

Umg Prompt Care South Carolina,Llc

Bruckner, Adam W

Muniz, Leopoldo M

Fallaw, Robyn F.

Meiler, Mark J

Bryan, Tiffany Renee'

Millwood, Charles Edward

Vaughters Family Practice Llc