Mary Margaret Bates
Individual provider Active NPI Physician Assistant · Newberry, SC
NPI 1104639210 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1104639210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5993 (SC)
- Practice address
- 2704 Kinard St
Newberry, SC 29108-2908 - Phone
- (803) 321-6254
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Palmetto Bone and Joint
Practice addresses (Care Compare)
1 Wellness Blvd
Irmo, SC 29063-2871
Phone (803) 470-7040
Hospital & facility affiliations
- Newberry County Memorial Hospital
- Self Regional Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251203003226 | SC | Practitioner - Physician Assistant | 5496248833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5993 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Bone and Joint | Current |
Accepting new patients |
Locations
104 Ellett Rd
Chapin, SC 29036
Phone (803) 567-8970
22971 Highway 76 E
Clinton, SC 29325
Phone (803) 833-3046
1 Wellness Blvd
Ste 202
Irmo, SC 29063
Phone (803) 470-7040
1 Wellness Blvd
Irmo, SC 29063
Phone (803) 470-7040
2704 Kinard St
Newberry, SC 29108
Phone (803) 321-6254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5993 | SC | Yes |
Addresses
Primary practice location
2704 Kinard St
Newberry, SC 29108-2908
Mailing address
2704 Kinard St
Newberry, SC 29108-2908
Phone (803) 321-6254
Other practice location 1
1 Wellness Blvd Ste 202
Irmo, SC 29063-2873
Phone (803) 470-7040
Other practice location 2
104 Ellett Rd
Chapin, SC 29036-8604
Phone (803) 941-8095
Other providers in Newberry, SC
- At Home Senior Care Hospice
- Ilya M Averbuch
- Erwin Renwick Baker
- Mary E Baker
- Kelly Bannister
- Adra Elaine Battle
- Kristin Bishop Bayuk
- Beckman Mental Health Newberry Office
- Bela Family Dentistry of Newberry
- Shannon Beckham Berley
All providers in Newberry, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.