Active NPI
Michael J Sylvia, MD
- Pediatrics Physician
- Walterboro, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 40862
- Practice address
- 501 Robertson Blvd
Walterboro, SC 29488-2787 - Phone
- (843) 782-2370
- NPI assigned
- Jun 12, 2008
- Last updated
- Oct 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D84904 | MD | |
| Pediatrics Physician | 208000000X | MD464942 | PA | |
| Pediatrics Physician | 208000000X | 0101265589 | VA | |
| Pediatrics Physician | 208000000X | ME123971 | FL | |
| Pediatrics Physician | 208000000X | 2012-00748 | NC | |
| Pediatrics Physician | 208000000X | 40862 | SC | Primary |
Addresses
Primary practice location
501 Robertson Blvd
Walterboro, SC 29488-2787
Mailing address
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2370
Other practice location 1
566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone (252) 436-0440
Other practice location 2
105 Yadkin St
Suite 303
Albemarle, NC 28001-3449
Phone (980) 323-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215197330 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D84904 | MD | MD | Pediatrics Physician |
| 2012-00748 | NC | MD | Pediatrics Physician |
| MD464942 | PA | MD | Pediatrics Physician |
| 0101265589 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Carolinas Medical Center | Pediatrics | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Prisma Health Tuomey | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Prisma Health Tuomey | Current | Accepting new patients | |
| Carolinas Medical Center | Pediatrics | Current | Accepting new patients |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Billings Clinic | Pediatrics | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Walterboro Community Hospital, Inc. | Past | Accepting new patients |
Locations
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
Interoperability endpoints
- michael.sylvia.1@20247.direct.athenahealth.com
Organizations & group practices 15
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.
-
dba Prisma Health Emergency Physicans Tuomey
- Emergency Medicine Physician
- Sumter, SC
- NPI 1548625593
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
Pediatrics
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba Prisma Health Tuomey Acute Rehabilitation
- Rehabilitation Hospital Unit
- Sumter, SC
- NPI 1609895663
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
-
- Pediatrics Physician
- Bozeman, MT
- NPI 1902340821
-
dba Atrium Health Pulmonary University
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Pediatrics
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1215197330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 ROBERTSON BLVD",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882787",
"telephone_number": "843-782-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 ROBERTSON BLVD",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882787",
"telephone_number": "843-782-2370"
}
],
"practiceLocations": [
{
"address_1": "566 Ruin Creek Rd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NC",
"postal_code": "275362927",
"country_code": "US",
"telephone_number": "252-436-0440",
"fax_number": "252-436-0281",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Yadkin St",
"address_2": "Suite 303",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013449",
"country_code": "US",
"telephone_number": "980-323-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYLVIA",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D84904",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD464942",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101265589",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME123971",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2012-00748",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "40862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215197330",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.