Individual provider Active NPI

Temisha H Budden, PA

  • Physician Assistant
  • Sumter, SC
National Provider Identifier
1053370593
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
745 Issued in SC
Practice address
12 Barnette Dr
Sumter, SC 29150-8004
Phone
(803) 773-5442
Fax
(803) 778-2394
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 745 SC Primary

Addresses

Primary practice location

12 Barnette Dr
Sumter, SC 29150-8004

Mailing address

12 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 773-5442

Other identifiers 2

IdentifierTypeStateIssuer
970026509OtherSCRAILROAD MEDICARE
0609PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000372 SC Practitioner - Physician Assistant 7911172341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Jun 30, 2014 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Jun 30, 2014 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients

Locations

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718
Phone (843) 658-3005

205 W Marion St
Kershaw, SC 29067
Phone (803) 475-4701

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 408-3262

645 S Seventh St
Mc Bee, SC 29101
Phone (803) 475-4701

30 Cuttino Rd
Sumter, SC 29150
Phone (803) 778-2442

Interoperability endpoints

  • Direct secure messaging: temishabudden@smf.allscriptsdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1053370593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BARNETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-773-5442",
            "fax_number": "803-778-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BARNETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-773-5442",
            "fax_number": "803-778-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDEN",
        "first_name": "TEMISHA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970026509",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.