Active NPI
Jerry P Huey, MD
- Anatomic Pathology Physician
- Bennettsville, SC
National Provider Identifier
1093803553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 15818
- Practice address
- 672 Hwy 9 West
Bennettsville, SC 29512 - Phone
- (843) 479-0641
- Fax
- (843) 479-6609
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 15818 | SC | Primary |
| Anatomic Pathology Physician | 207ZP0101X | 34992 | NC |
Addresses
Primary practice location
672 Hwy 9 West
Bennettsville, SC 29512
Mailing address
PO Box 250
Bennettsville, SC 29512
Phone (843) 479-0641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890684N | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15818 | SC | MD | Clinical Social Worker |
| 34992 | NC | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marlboro Chesterfield Pathology, PC | Past | Accepting new patients | |
| Carolina Regional Associates of Pathology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Bennettsville, SC
- NPI 1083702542
-
- Anatomic Pathology & Clinical Pathology Physician
- Pinehurst, NC
- NPI 1649873647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093803553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-479-0641",
"fax_number": "843-479-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 HWY 9 WEST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-479-0641",
"fax_number": "843-479-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEY",
"first_name": "JERRY",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "SC",
"license": "15818",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NC",
"license": "34992",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890684N",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.