Individual provider Active NPI

Gregory E Barefoot, P.A.C.

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1386601102
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
762 Issued in SC
Practice address
3 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6880
Phone
(803) 434-6838
Fax
(803) 434-6878
NPI assigned
Apr 26, 2006
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 762 SC Primary
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X 762 SC

Addresses

Primary practice location

3 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6880

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

9 Richland Medical Park Dr Ste 450
Columbia, SC 29203-6859
Phone (803) 434-8800

Other identifiers 1

IdentifierTypeStateIssuer
0217PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040629001116 SC Practitioner - Physician Assistant 1658357652 Reassigns benefits to 4 organizations
I20210708003170 GA Practitioner - Physician Assistant 1658357652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1830 Pondfield Rd
Newberry, SC 29108-9522
Phone (803) 405-7555

1910 A College St
Newberry, SC 29108-2644
Phone (803) 945-4050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
762SCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands CurrentSince Dec 9, 2015 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 6, 2018 Accepting new patients
Newberry County Memorial Hospital CurrentSince Jul 26, 2019 Accepting new patients
Newberry County Memorial Hospital CurrentSince Feb 12, 2024 Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients

Locations

1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410

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

3 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-6838

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

9 Richland Medical Park Dr
Ste 450
Columbia, SC 29203
Phone (803) 434-8800

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

1830 Pondfield Rd
Ste A1
Newberry, SC 29108
Phone (803) 405-7140

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

166 Main St
Whitmire, SC 29178
Phone (803) 694-3820

Interoperability endpoints

  • Direct secure messaging: gbarefoot412360@direct.ghs.myhfn.org
  • Direct secure messaging: gregory.barefoot.1@13400.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1386601102",
    "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": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036880",
            "telephone_number": "803-434-6838",
            "fax_number": "803-434-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Richland Medical Park Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036859",
            "country_code": "US",
            "telephone_number": "803-434-8800",
            "fax_number": "803-434-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAREFOOT",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "762",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.