Madelyn Garcia, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1150 Issued in SC

Practice address

2605 Kinard St
Suite 200
Newberry, SC 29108-2967

Phone

(803) 405-1900

Fax

(803) 405-1919

NPI assigned

Mar 3, 2010

Last updated

Feb 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madelyn Garcia Serina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aiken Counseling Group

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  • NPI 1326469016
  NPD
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD (past)
• Self Medical Group

  dba Advanced Gastroenterology

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1841047560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1043533243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KINARD ST",
            "address_2": "SUITE 200",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082967",
            "telephone_number": "803-405-1900",
            "fax_number": "803-405-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KINARD ST",
            "address_2": "SUITE 200",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082967",
            "telephone_number": "803-405-1900",
            "fax_number": "803-405-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MADELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C SOUTH CAROLINA LICENSE",
            "identifier": "1150",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELYN",
            "last_name": "SERINA",
            "middle_name": "GARCIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Noel Franklin, PHARMD
• Fresenius Medical Care Cna Kidney Centers, LLC (Fresenius Medical Care Newberry)
• Candace Cromer Frick, PHARMD
• Shanna Jackson Gallman, BA
• Jorge O Garcia, M.D.
• Allison Kyzer Gardner, DC
• Andrea Nicole Getz, PT, DPT
• Robersena Gibbs Praylow
• Emily Nicole Gilliland, OTR/L
• Delores Glenn

• Medical Physician Assistant in Newberry, SC
• Providers in Newberry, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.