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Individual provider Active NPI

Antigone Childs, MD

  • Addiction Medicine (Family Medicine) Physician
  • Seneca, SC
National Provider Identifier
1235511742
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
38342 Issued in SC
Practice address
11082 N Radio Station Rd
Seneca, SC 29678-1142
Phone
(864) 882-2314
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38342 SC
Family Medicine Physician 207Q00000X 80885 GA
Addiction Medicine (Family Medicine) Physician 207QA0401X 38342 SC Primary

Addresses

Primary practice location

11082 N Radio Station Rd
Seneca, SC 29678-1142

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 882-2314

Other practice location 1

175 Emery Hwy
Macon, GA 31217-3692
Phone (478) 803-7631

Other practice location 2

3780 Eisenhower Pkwy
Macon, GA 31206
Phone (478) 633-5560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209002163 SC Practitioner - Family Practice 2163715509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11082 N Radio Station Rd
Seneca, SC 29678-1142
Phone (864) 882-2314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80885GAMDFamily Medicine Physician
38342SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Nov 4, 2019 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Nov 4, 2019 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

11082 N Radio Station Rd
Seneca, SC 29678
Phone (864) 882-2314

Interoperability endpoints

  • Direct secure messaging: achilds126326@direct.ghs.myhfn.org

Organizations & group practices 2

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.

Hospital & facility affiliations 52

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1235511742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-882-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 N RADIO STATION RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781142",
            "telephone_number": "864-882-2314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Emery Hwy",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312173692",
            "country_code": "US",
            "telephone_number": "478-803-7631",
            "fax_number": "478-803-8596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 Eisenhower Pkwy",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31206",
            "country_code": "US",
            "telephone_number": "478-633-5560",
            "fax_number": "478-784-5496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ANTIGONE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "38342",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "80885",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "SC",
            "license": "38342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.