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1285614479

NPI Code Detail

MEDICARE: DR. ROBERT MICHAEL HELLAMS

MEDICARE: DR. ROBERT MICHAEL HELLAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	18892	SC
2	207P00000X	Emergency Medicine Physician	18892	SC
3	207P00000X	Emergency Medicine Physician	2013-02298	NC
4	207Q00000X	Family Medicine Physician	2013-02298	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	NCG178C	OTHER	NC	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	20051872	OTHER	SC	SELECT HEALTH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	189207	OTHER	SC	MEDCOST
6	5484710	OTHER	SC	AETNA

General Provider Information

NPI Number	:	1285614479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MICHAEL HELLAMS

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-695-6697
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N NELSON DR
Second Line	:
City	:	FOUNTAIN INN
State	:	SC
Zip	:	29644-9021
Country	:	US
Telephone Number	:	864-522-3270
Fax Number	:	864-522-6275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	03/05/2025

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Directions to “ DR. ROBERT MICHAEL HELLAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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