NPIMap

Individual provider Active NPI

Chadwick V. Thomas, M.D.

  • Surgery Physician
  • Mullins, SC
National Provider Identifier
1346289907
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23582 Issued in SC
Practice address
119 W Lowman St
Mullins, SC 29574-3107
Phone
(843) 464-4000
Fax
(843) 464-4017
NPI assigned
Jun 6, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 061174 GA
Surgery Physician 208600000X 23582 SC Primary

Addresses

Primary practice location

119 W Lowman St
Mullins, SC 29574-3107

Mailing address

119 W Lowman St
Mullins, SC 29574-3107
Phone (843) 464-4000

Other identifiers 3

IdentifierTypeStateIssuer
HOSP60OtherGAMEDICARE GROUP
235828MedicaidSC
482266381FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20031222000730 SC Practitioner - General Surgery 2264330711 Reassigns benefits to 3 organizations
I20080819000076 GA Practitioner - General Surgery 2264330711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical University of South Carolina College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

10 E Hospital St
Manning, SC 29102-3153
Phone (803) 435-8463

2829 E Hwy 76
Mullins, SC 29574-6035
Phone (803) 581-2800

2845 E Hwy 76
Mullins, SC 29574-6037

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

711 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone (843) 537-7881

800 E Cheves St
Florence, SC 29506-2650

805 Pamplico Hwy
Florence, SC 29505-6047

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux39
Melanoma (skin cancer) excision14
Removal of tissue64
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061174GAMDSurgery Physician
23582SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Surgery CurrentSince Mar 1, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
The Hospital Authority of Habersham County Current Accepting new patients
The Hospital Authority of Habersham County Surgery CurrentSince Jul 24, 2008 Accepting new patients
The Hospital Authority of Habersham County Current Accepting new patients
McLeod Physician Associates II Surgery CurrentSince Aug 31, 2018 Accepting new patients
Musc Community Physicians Surgery Current Accepting new patients
McLeod Physician Associates II CurrentSince Aug 31, 2018 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Greenville Proaxis Therapy, LLC Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

855 Austin Dr
Demorest, GA 30535
Phone (706) 754-8339

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3555 N Williamsburg County Hwy
Cades, SC 29518
Phone (843) 210-5000

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

2001 Laurel St
Ste 300
Columbia, SC 29204
Phone (803) 254-2786

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

119 W Lowman St
Mullins, SC 29574
Phone (843) 464-4000

2845 E Highway 76
Ste 3
Mullins, SC 29574
Phone (843) 431-2730

2845 E Highway 76
Ste 5
Mullins, SC 29574
Phone (843) 431-2280

Interoperability endpoints

  • Direct secure messaging: chadwick.thomas@hcmcmed.gadirect.net
  • Direct secure messaging: cthomas252570@direct.musc.edu
  • Direct secure messaging: cthomas32024@directmcleodehealth.org

Organizations & group practices 13

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 13

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1346289907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W LOWMAN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743107",
            "telephone_number": "843-464-4000",
            "fax_number": "843-464-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W LOWMAN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743107",
            "telephone_number": "843-464-4000",
            "fax_number": "843-464-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHADWICK",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "061174",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "23582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "HOSP60",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235828",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482266381F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.