NPIMap

Individual provider Active NPI

Larry N Byrd, MD

  • Pediatrics Physician
  • Rock Hill, SC
National Provider Identifier
1487609624
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14759 Issued in SC
Practice address
724 Arden LN Ste 100
Rock Hill, SC 29732-2995
Phone
(803) 980-7337
Fax
(803) 980-2229
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14759 SC Primary

Addresses

Primary practice location

724 Arden LN Ste 100
Rock Hill, SC 29732-2995

Mailing address

724 Arden LN Ste 100
Rock Hill, SC 29732-2995
Phone (803) 980-7337

Other identifiers 3

IdentifierTypeStateIssuer
147594MedicaidSC
571020809034OtherSCTRICARE
571020809002OtherSCBCBS SC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14759SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seashore Pediatrics Pediatrics Current Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Sweetgrass Pediatrics Pediatrics PastSince Nov 8, 2020 Accepting new patients
Sunshine Pediatrics Pediatrics PastSince Nov 8, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: larrybyrd@seaped.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1487609624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ARDEN LN STE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322995",
            "telephone_number": "803-980-7337",
            "fax_number": "803-980-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ARDEN LN STE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322995",
            "telephone_number": "803-980-7337",
            "fax_number": "803-980-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LARRY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "14759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147594",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "571020809034",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SC",
            "identifier": "571020809002",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.