NPIMap

Individual provider Active NPI

John B Pate, MD

  • Family Medicine Physician
  • Bishopville, SC
National Provider Identifier
1295708535
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10449 Issued in SC
Practice address
116 Hospital SQ
Bishopville, SC 29010
Phone
(803) 484-9424
NPI assigned
Feb 8, 2006
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10449 SC Primary

Addresses

Primary practice location

116 Hospital SQ
Bishopville, SC 29010

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

115 N Sumter St Ste 400
Sumter, SC 29150-4971
Phone (803) 774-7425

Other identifiers 1

IdentifierTypeStateIssuer
104498MedicaidSC

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
I20061219000186 SC Practitioner - Family Practice 1254330319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tandem Health SCGroup PAC ID 3870575855, 32 clinicians

Practice addresses (Care Compare)

319 N Main St
Sumter, SC 29150-4258
Phone (803) 774-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10449SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Tandem Health SC Current Accepting new patients
Tandem Health SC CurrentSince Sep 1, 2020 Accepting new patients
Tandem Health SC CurrentSince Sep 1, 2020 Accepting new patients
Tandem Health SC Past Accepting new patients
Palmetto Health Past Accepting new patients

Locations

116 Hospital Sq
Bishopville, SC 29010
Phone (803) 484-9424

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

1278 N Layfayette St
Sumter, SC 29150

319 N Main St
Sumter, SC 29150
Phone 8037744500 ext. 905

550 S Pike W
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: john.pate.1@13095.direct.athenahealth.com
  • Direct secure messaging: jpate383127@direct.ghs.myhfn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1295708535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HOSPITAL SQ",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "29010",
            "telephone_number": "803-484-9424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Sumter St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504971",
            "country_code": "US",
            "telephone_number": "803-774-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104498",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishopville, SC

Sources for this page

Verify at the official NPI Registry.