Terry L Fry, MD

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

14277 Issued in SC

Practice address

401 Marina Dr
Georgetown, SC 29440-2410

Phone

(843) 546-7272

Fax

(843) 546-0277

NPI assigned

May 27, 2006

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

University of North Carolina at Chapel Hill School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tfry447914@direct.musc.edu

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.

• Waccamaw Surgical Associates

  • Specialist
  • Georgetown, SC
  • NPI 1710022660

  SC

  Medicare reassignment NPD Authorized official
• Waccamaw Hearing Specialist

  • Hearing Instrument Specialist
  • Georgetown, SC
  • NPI 1598553398
  NPD

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

• Georgetown Memorial Hospital

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056

  Hospital

  Care Compare affiliation
• Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1104873017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MARINA DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402410",
            "telephone_number": "843-546-7272",
            "fax_number": "843-546-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MARINA DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402410",
            "telephone_number": "843-546-7272",
            "fax_number": "843-546-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "SC",
            "license": "14277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142777",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Franke, PHARM.D.
• Richard A Frasier, CACII
• Anna Marie Freeman
• Hunter Freitas, DMD
• Doretha Frias
• Amanda Pittman Frye
• Aubrey Anna Gall, OD
• Mark Joseph Galloway, PA-C
• Joseph J Gammel, M.D.
• Megan Gaydosh, O.T.

• All providers in Georgetown, SC
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.