Provider Demographics
NPI:1285614479
Name:HELLAMS, ROBERT MICHAEL
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:HELLAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-695-6697
Mailing Address - Fax:
Practice Address - Street 1:200 N NELSON DR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN INN
Practice Address - State:SC
Practice Address - Zip Code:29644-9021
Practice Address - Country:US
Practice Address - Phone:864-522-3270
Practice Address - Fax:864-522-6275
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18892207Q00000X, 207P00000X
NC2013-02298207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89065H9Medicaid
NCNCG178COtherMEDICARE PTAN
SC20051872OtherSELECT HEALTH
SC188923Medicaid
SC189207OtherMEDCOST
SC5484710OtherAETNA
NCNCG178COtherMEDICARE PTAN
SCG34109Medicare UPIN
SC5484710OtherAETNA
SC20051872OtherSELECT HEALTH
SCG341099068Medicare PIN