NPIMap

Organization Active NPI

Newberry County School District

  • Speech-Language Pathologist
  • Newberry, SC
National Provider Identifier
1194754200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEWBERRY COUNTY SCHOOL DISTRICT
Practice address
1539 Martin St
Newberry, SC 29108-2831
Phone
(803) 321-2600
Fax
(803) 321-2013
NPI assigned
Jul 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Greg Mack
Title
Asst. Supt. for Operations
Phone
(803) 321-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1539 Martin St
Newberry, SC 29108-2831

Mailing address

1539 Martin St
Newberry, SC 29108-2831
Phone (803) 321-2600

Other identifiers 1

IdentifierTypeStateIssuer
W01410SC1MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Newberry County School District5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1539 Martin St
Newberry, SC 29108
Phone (803) 321-2600

Practitioners & affiliated clinicians

Practitioners 3

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194754200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 MARTIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082831",
            "telephone_number": "803-321-2600",
            "fax_number": "803-321-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 MARTIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082831",
            "telephone_number": "803-321-2600",
            "fax_number": "803-321-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY COUNTY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "ASST. SUPT. FOR OPERATIONS",
        "authorized_official_telephone_number": "803-321-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W01410SC1",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.