Individual provider Active NPI

Steven David Thies, M.D.

  • Surgery Physician
  • Gastonia, NC
National Provider Identifier
1104821669
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9701170 Issued in NC
Practice address
2555 Court Dr Ste 450
Gastonia, NC 28054-2191
Phone
(704) 671-7652
Fax
(704) 671-7656
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19435 SC
Surgery Physician 208600000X 9701170 NC Primary

Addresses

Primary practice location

2555 Court Dr Ste 450
Gastonia, NC 28054-2191

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other identifiers 4

IdentifierTypeStateIssuer
2062802OtherFIRST HEALTH
297391OtherMAMSI
790625XMedicaidNC
194355MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041122000435 NC Practitioner - General Surgery 5991760738 Reassigns benefits to 4 organizations
I20170614000370 SC Practitioner - General Surgery 5991760738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Columbia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 682-7480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)26
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19435SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Regional Physician Group LLC Surgery CurrentSince Feb 1, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jun 26, 2023 Accepting new patients
Self Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Caromont Medical Group Inc Surgery Current Accepting new patients
Caromont Medical Group Inc Surgery CurrentSince May 8, 2022 Accepting new patients
Caromont Medical Group Inc CurrentSince May 8, 2022 Accepting new patients
Hilton Head Regional Physician Group LLC Current Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 23, 2023 Accepting new patients
Self Medical Group Surgery CurrentSince Dec 1, 2022 Accepting new patients
Self Medical Group Surgery Current Accepting new patients
Charlotte Trauma Services, PLLC Past Accepting new patients
Hilton Head Heart PA Past Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Rock Hill Surgical Associates PA Surgery Past Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

700 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3614

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

75 Baylor Dr
Ste 290
Bluffton, SC 29910
Phone (843) 682-2519

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 706-2523

160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-7809

408 Jackson Ave E
Hampton, SC 29924
Phone (803) 943-4003

1010 Medical Center Dr
Ste 250
Hardeeville, SC 29927
Phone (803) 943-4701

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: sthies82090@selfregional.direct-ci.net
  • Direct secure messaging: sthies1758717@direct.novanthealth.org
  • Direct secure messaging: steven.thies.1@30548.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1104821669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DR STE 450",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542191",
            "telephone_number": "704-671-7652",
            "fax_number": "704-671-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIES",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "19435",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9701170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2062802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "297391",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790625X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194355",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.