Newton Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19206 Issued in SC

Legal business name

NEWTON FAMILY MEDICINE, LLC

Practice address

1477 Tobias Gadson Blvd
Charleston, SC 29407-4794

Phone

(843) 766-7696

NPI assigned

Oct 21, 2016

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Radabaugh, MBA

Title

Cfo

Phone

(843) 364-6695

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26934/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Lindsey Diane Kettinger, DNP, FNP-BC

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1770836363
  Medicare reassignment Care Compare group NPD
• Edward Marshall Newton, MD

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1891739785
  Medicare reassignment Care Compare group NPD
• Zachary Hill Robbins

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1104457613
  Medicare reassignment NPD
• Ryan Christopher Wolbach, FNP

  • Nurse Practitioner
  • Summerfield, NC
  • NPI 1881384485

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1497206726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 TOBIAS GADSON BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074794",
            "telephone_number": "843-766-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 TOBIAS GADSON BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074794",
            "telephone_number": "843-766-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "RADABAUGH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-364-6695",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "19206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "19206",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Eleanor Newman, LMSW
• Jared Michael Newman, MD
• Jason G Newman, MD
• Kay P. Newman, LISW-CP
• Roger B. Newman, MD.
• Leslie Newton-McKee, OT
• Carolyn Andrea Newton, NP
• Edward Marshall Newton, MD
• Julia K Newton, RN
• Patti Newton

• Family Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.