Individual provider Active NPI

Gene Franklin Dickerson, MD

  • Surgery Physician
  • Sumter, SC
National Provider Identifier
1386698652
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11086 Issued in SC
Practice address
115 N Sumter St
Ste 300
Sumter, SC 29150-4972
Phone
(803) 775-4655
Fax
(803) 775-7258
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 011086 SC
Surgery Physician 208600000X 11086 SC Primary

Addresses

Primary practice location

115 N Sumter St
Ste 300
Sumter, SC 29150-4972

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7303

Other identifiers 1

IdentifierTypeStateIssuer
110864MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000449 SC Practitioner - General Surgery 7810189198 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kentucky College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

115 N Sumter St
Suite 300
Sumter, SC 29150-4967
Phone (803) 775-1550

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Prisma Health Tuomey Home health agency, Sumter, SC, CCN 427078
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011086SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Tuomey CurrentSince Feb 18, 2016 Accepting new patients
Tandem Health SC CurrentSince Jun 1, 2022 Accepting new patients
Prisma Health Medical Group-Midlands Surgery CurrentSince Dec 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 1, 2018 Accepting new patients
Prisma Health Tuomey CurrentSince Feb 18, 2016 Accepting new patients
Tandem Health SC CurrentSince Jun 1, 2022 Accepting new patients
Prisma Health Medical Group-Midlands Surgery Current Accepting new patients
Tuomey Medical Professionals, Inc Surgery Past Accepting new patients

Locations

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

115 N Sumter St
Ste 300
Sumter, SC 29150
Phone (803) 775-1550

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

550 S Pike W
Sumter, SC 29150

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

1278 N Layfayette St
Sumter, SC 29150

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

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

Interoperability endpoints

  • Direct secure messaging: gdickerson378847@direct.ghs.myhfn.org
  • Direct secure messaging: gene.dickerson.1@13095.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1386698652",
    "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": "803-296-7303",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "STE 300",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-775-4655",
            "fax_number": "803-775-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "GENE",
        "middle_name": "FRANKLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "011086",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "11086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110864",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.