Individual provider Active NPI

Michael J Sylvia, MD

  • Pediatrics Physician
  • Walterboro, SC
National Provider Identifier
1215197330
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40862 Issued in SC
Practice address
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone
(843) 782-2370
NPI assigned
Jun 12, 2008
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215197330MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140628000132 NC Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5294950564 Reassigns benefits to 3 organizations
I20190910000403 SC Practitioner - Pediatric Medicine 5294950564 Reassigns benefits to 2 organizations
I20230217002291 MT Practitioner - Pediatric Medicine 5294950564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D84904MDMDPediatrics Physician
2012-00748NCMDPediatrics Physician
MD464942PAMDPediatrics Physician
0101265589VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC CurrentSince Jan 1, 2021 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 CurrentSince Dec 10, 2018 Accepting new patients
Billings Clinic CurrentSince Jan 9, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 10, 2018 Accepting new patients
Prisma Health Tuomey CurrentSince Jul 1, 2019 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Dec 1, 2018 Accepting new patients
Prisma Health Tuomey CurrentSince Jul 1, 2019 Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince Oct 18, 2021 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Dec 1, 2018 Accepting new patients
Billings Clinic Pediatrics CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Oct 18, 2021 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

  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.