Individual provider Active NPI

Mark Luther Barnard, MD

  • Pulmonary Disease Physician
  • Florence, SC
National Provider Identifier
1174563860
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12671 Issued in SC
Practice address
506 E Cheves St
Florence, SC 29506-2616
Phone
(843) 413-3100
Fax
(843) 413-3197
NPI assigned
Jun 8, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 12671 SC Primary

Addresses

Primary practice location

506 E Cheves St
Florence, SC 29506-2616

Mailing address

506 East Cheves Street
P.O. Box 1905
Florence, SC 29503-1905
Phone (843) 413-3100

Other identifiers 2

IdentifierTypeStateIssuer
126713MedicaidSC
890501JMedicaidNC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070822000591 SC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9436241494 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12671SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartsville Medical Group LLC Pulmonary Disease CurrentSince Feb 1, 2016 Accepting new patients

Locations

700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742

700 Medical Park Dr
#208
Hartsville, SC 29550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1174563860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 EAST CHEVES STREET",
            "address_2": "P.O. BOX 1905",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295031905",
            "telephone_number": "843-413-3100",
            "fax_number": "843-413-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062616",
            "telephone_number": "843-413-3100",
            "fax_number": "843-413-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "MARK",
        "middle_name": "LUTHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "12671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126713",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890501J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.