TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
NPI 1104145184
Psychiatry & Neurology - Psychiatry in Travelers Rest, SC

Q: What is Table Rock Integrated Health And Wellness Practice, LLC.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 31, 2010

5 CENTER ST, TRAVELERS REST, SC 29690(864) 908-6372(864) 898-3703 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2020, Feb 29, 2016 (2 updates tracked since 2016).

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About Table Rock Integrated Health And Wellness Practice, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC. (NPI 1104145184) is a healthcare organization registered as a psychiatry in Travelers Rest, South Carolina and active in the NPI registry since May 2010. The organization lists Gergana Damianova Dimitrova, Partner, as its authorized official.

NPPES Registry Identity

NPI1104145184

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameTABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.

Location Address5 CENTER STTravelers Rest, SC 29690-1826

Mailing Address5 Center StTravelers Rest, SC 29690-1826 · (864) 908-6372 · Fax (864) 898-3703

Phone(864) 908-6372

Fax(864) 898-3703

Organization SubpartNo

Authorized OfficialGergana Damianova DimitrovaPartner · (864) 908-6372

Enumeration DateMay 31, 2010

Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration

NPPES CertifiedMarch 16, 2020

✔ NPI 1104145184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in SC · 30719

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1223 (SC)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 5825 (SC)

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 30719 (SC)

5 CENTER ST, Travelers Rest, SC 29690

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Table Rock Integrated Health And Wellness Practice, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Table Rock Integrated Health And Wellness Practice, LLC., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Pamela Mcafee, LISW-CP

Clinical Social Worker

NPI 1770791311

5 CENTER ST
Travelers Rest, SC 29690

(864) 380-5082

✔ PECOS✔ Accepts Medicare0.2 mi

Keith Mundis, L.P.C.

Mental Health Counselor

NPI 1720153380

311 BENNETT CENTER DR
Greer, SC 29650

(864) 968-9687

✔ PECOS✔ Accepts Medicare11 mi

John Epps, LISW-CP

Clinical Social Worker

NPI 1346486982

33 MARKET POINT DR ATTN JASON FLASSING
Greenville, SC 29607

(864) 373-0435

✔ PECOS✔ Accepts Medicare13 mi

Gergana Dimitrova, M.D.

Psychiatry

NPI 1326129388

50 HOSPITAL DR STE 5D
Hendersonville, NC 28792

(828) 650-8032

✔ PECOS✔ Accepts Medicare29 mi

Siana Brown, CRNP-PMH

Nurse Practitioner

NPI 1710670864

501 E NAYLOR MILL RD UNIT C
Salisbury, MD 21804

(443) 345-2275

✔ PECOS✔ Accepts Medicare449 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Table Rock Integrated Health And Wellness Practice, LLC.'s NPI number?

The NPI number for Table Rock Integrated Health And Wellness Practice, LLC. is 1104145184. It was assigned to this organization in the NPPES registry on May 31, 2010.

Where is Table Rock Integrated Health And Wellness Practice, LLC. located?

Table Rock Integrated Health And Wellness Practice, LLC. is located at 5 Center St, Travelers Rest, SC 29690. The listed phone number is (864) 908-6372.

What is Table Rock Integrated Health And Wellness Practice, LLC.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Table Rock Integrated Health And Wellness Practice, LLC. enrolled in Medicare?

Yes. Table Rock Integrated Health And Wellness Practice, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Table Rock Integrated Health And Wellness Practice, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Table Rock Integrated Health And Wellness Practice, LLC., in Clinical Social Worker, Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Table Rock Integrated Health And Wellness Practice, LLC. accept?

Health plans from BlueCross BlueShield of South Carolina list Table Rock Integrated Health And Wellness Practice, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Table Rock Integrated Health And Wellness Practice, LLC. was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.