Samuel Lee Dickey, MD
Individual provider Active NPI Pulmonary Disease Physician · Greenville, SC
NPI 1124557665 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1124557665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 89893 (SC)
- Practice address
- 200 Patewood Dr Ste B300
Greenville, SC 29615-6338 - Phone
- (864) 454-4200
- Fax
- (864) 454-4205
- NPI assigned
- Jun 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 56
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Medical University of South Carolina College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
200 Patewood Dr
Suite B300
Greenville, SC 29615-6338
Phone (864) 454-4200
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
- Prisma Health Baptist Easley Hospital
- Prisma Health Greer Memorial Hospital
- Prisma Health Oconee Memorial Hospital
- Prisma Health Hillcrest Hospital
- Prisma Health North Greenville Ltach
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230907004116 | SC | Practitioner - Pulmonary Disease |
8022384007 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89893 | SC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Internal Medicine | Current |
Accepting new patients |
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Internal Medicine | Current |
Accepting new patients |
| Prisma Health University Medical Group | Current |
Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
112 John St
Ste 201
Easley, SC 29640
Phone (864) 850-2663
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
200 Patewood Dr
Ste B300
Greenville, SC 29615
Phone (864) 454-4200
300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
890 W Faris Rd
Ste 580
Greenville, SC 29605
Phone (864) 455-7874
115 N Sumter St
Ste 315
Sumter, SC 29150
Phone (803) 774-9787
Interoperability endpoints
- sdickey724790@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 89893 | SC | |
| Pulmonary Disease Physician | 207RP1001X | 89893 | SC | Yes |
Addresses
Primary practice location
200 Patewood Dr Ste B300
Greenville, SC 29615-6338
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone (843) 792-2300
Other providers in Greenville, SC
- Samuel Dibrdige
- Caroline Phelps Dibridge
- Kelly G Dicenso
- Erin Johnston Dickert
- Jacquline Searcy Dickert
- Andrew Bryant Dicks
- Kaitlin Dickson
- Quintazia Dickson
- Melissa Diehl
- Ann Marie Dietrich
All providers in Greenville, SC · Pulmonary Disease Physician 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 Dec 5, 2025. 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.