NPIMap

Individual provider Active NPI

Timothy J. McPherson, M.D.

  • Family Medicine Physician
  • Seneca, SC
National Provider Identifier
1235113176
Registry record updated Sep 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30241 Issued in SC
Practice address
298 Memorial Dr
Seneca, SC 29672-9443
Phone
(864) 885-7758
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21539 WV
Family Medicine Physician 207Q00000X 30241 SC Primary

Addresses

Primary practice location

298 Memorial Dr
Seneca, SC 29672-9443

Mailing address

104 Barfield Dr
Easley, SC 29642-8273
Phone (864) 631-2980

Other identifiers 3

IdentifierTypeStateIssuer
2489187MedicaidOH
64083207MedicaidKY
3810000402MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070917000156 SC Practitioner - Family PracticePractitioner - Internal Medicine 6507830296 Reassigns benefits to 1 organization
I20210831001856 SD Practitioner - Internal Medicine 6507830296 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jul 30, 2021 Accepting new patients
Regency Hospital of Greenville, LLC CurrentSince May 5, 2014 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 30, 2021 Accepting new patients
Regency Hospital of Greenville, LLC CurrentSince May 5, 2014 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients
Primedoc of Seneca PA Past Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

2000 E Greenville St
Fl 2
Anderson, SC 29621
Phone (864) 255-1401

3 Saint Francis Dr
Ste 440
Greenville, SC 29601
Phone (864) 255-1401

1 Saint Francis Dr
Fl 4
Greenville, SC 29601
Phone (864) 255-1401

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medical Services of America Hospice of the LowcountryRidgeland, SC, CCN 421560 Hospice Contracted Managing Employee Jul 18, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253923200000",
    "number": "1235113176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BARFIELD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428273",
            "telephone_number": "864-631-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MEMORIAL DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729443",
            "telephone_number": "864-885-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2009-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21539",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "30241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2489187",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64083207",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000402",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.