NPIMap

Organization Active NPI

F. Marion Dwight, MD,PA

Doing business as Bamberg Family Practice

  • Family Medicine Physician
  • Bamberg, SC
National Provider Identifier
1366407231
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
F. MARION DWIGHT, MD,PA
Doing business as
Bamberg Family Practice
Practice address
2113 Main Hwy
Bamberg, SC 29003-2705
Phone
(803) 245-5168
Fax
(803) 245-6275
NPI assigned
Apr 20, 2006
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Dr. Danette F McAlhaney, MDNPI 1043275282
Title
Director
Phone
(803) 245-5168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2113 Main Hwy
Bamberg, SC 29003-2705

Mailing address

PO Box 120
Bamberg, SC 29003-0120
Phone (803) 245-5168

Other identifiers 1

IdentifierTypeStateIssuer
GP0698MedicaidSC

Other names 1

  • Bamberg Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729000967 SC Part B Supplier - Clinic/Group Practice 7214907922 Receives reassigned benefits from 11 practitioners
Practice locations: Bamberg, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bamberg Family Practice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1366407231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290030120",
            "telephone_number": "803-245-5168",
            "fax_number": "803-245-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 MAIN HWY",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290032705",
            "telephone_number": "803-245-5168",
            "fax_number": "803-245-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. MARION DWIGHT, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "MCALHANEY",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-245-5168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0698",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bamberg Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bamberg Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bamberg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.