NPIMap

Individual provider Active NPI

Teresa Lynn Brown, DO

  • Family Medicine Physician
  • Pendleton, SC
National Provider Identifier
1366530768
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51284 Issued in SC
Practice address
1005 Meehan Way
Pendleton, SC 29670-1860
Phone
(864) 512-5783
Fax
(864) 646-3377
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 51284 SC Primary

Addresses

Primary practice location

1005 Meehan Way
Pendleton, SC 29670-1860

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (648) 512-5783

Other practice location 1

366 Market St
Seneca, SC 29678-0926
Phone (864) 364-6380

Other practice location 2

2017 Hampton Shores Dr
Seneca, SC 29672-6935
Phone (641) 485-9023

Other identifiers 1

IdentifierTypeStateIssuer
MEDICAIDOtherSC512840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address teresa.brown@centerwell.eclinicaldirectplus.com Direct

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
I20180815000105 SC Practitioner - Family Practice 9234122649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed Health 348 clinicians

Practice addresses (Care Compare)

1005 Meehan Way
Pendleton, SC 29670-1860
Phone (864) 646-7522

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Anderson, SC, CCN 427846
  • Anmed Health Hospital, Anderson, SC, CCN 420027

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51284SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Anmed Health Past Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

1005 Meehan Way
Pendleton, SC 29670
Phone (864) 512-5783

Interoperability endpoints

  • Direct secure messaging: tbrown55180@direct.anmedhealth.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1366530768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "648-512-5783",
            "fax_number": "864-646-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MEEHAN WAY",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701860",
            "telephone_number": "864-512-5783",
            "fax_number": "864-646-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 Market St",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296780926",
            "country_code": "US",
            "telephone_number": "864-364-6380",
            "fax_number": "833-853-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2017 Hampton Shores Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296726935",
            "country_code": "US",
            "telephone_number": "641-485-9023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "51284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "512840",
            "identifier": "MEDICAID",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teresa.brown@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "366 Market St",
            "city": "Seneca",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296780926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pendleton, SC

Sources for this page

Verify at the official NPI Registry.