Organization Active NPI

Sumter Internal Medicine Associates

  • Internal Medicine Physician
  • Sumter, SC
National Provider Identifier
1144318460
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0319 Issued in SC
Legal business name
SUMTER INTERNAL MEDICINE ASSOCIATES
Practice address
12 Barnette Dr
Sumter, SC 29150-8004
Phone
(803) 773-5442
Fax
(803) 778-2394
NPI assigned
Oct 11, 2006
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Thomas Hawkey, DONPI 1043292618
Title
Owner
Phone
(803) 773-5442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0319 SC Primary

Addresses

Primary practice location

12 Barnette Dr
Sumter, SC 29150-8004

Mailing address

12 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 773-5442

Other identifiers 2

IdentifierTypeStateIssuer
CK2453OtherSCRAILROAD MEDICARE
GP0872MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000567 SC Part B Supplier - Clinic/Group Practice 6406984780 Receives reassigned benefits from 1 practitioner
Practice locations: Sumter, SC

National Provider Directory

National Provider Directory

Locations

12 Barnette Dr
Sumter, SC 29150
Phone (803) 773-5441

2555 Lin Do Ct
Sumter, SC 29150
Phone (803) 773-5442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1144318460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BARNETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-773-5442",
            "fax_number": "803-778-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BARNETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-773-5442",
            "fax_number": "803-778-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "HAWKEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-773-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2453",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0872",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.