Michael L Hughes, M.D.
Individual provider Active NPI General Practice Physician · York, SC
NPI 1497731442 · NPPES record last updated Jan 20, 2018
Key facts
- NPI
- 1497731442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 23667 (SC)
- Practice address
- 1736 Old York Rd
York, SC 29745-9458 - Phone
- (803) 818-6955
- Fax
- (803) 818-6993
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100616000212 | SC | Practitioner - General Surgery |
3476683517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence House Calls LLC | Current |
Accepting new patients | |
| Palmetto Surgery Associates, PA | Past |
Accepting new patients |
Locations
500 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 818-6900
634 Fairview Rd
Simpsonville, SC 29680
Phone (843) 851-3126
1736 Old York Rd
York, SC 29745
Phone (803) 818-6955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Surgery) Physician | 2086H0002X | 23667 | SC | |
| General Practice Physician | 208D00000X | 23667 | SC | Yes |
Addresses
Primary practice location
1736 Old York Rd
York, SC 29745-9458
Mailing address
102 Reedy St
Chester, SC 29706-1836
Phone (803) 374-6409
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236676 | Medicaid | SC |
Other providers in York, SC
- Irene W. Helms
- Sloane Herring
- Robert Stephen Hines Sr.
- David O. Holman Jr.
- Artavia Howard
- Michele Lynn Husted
- Hyatt Counselling, LLC
- Isupport Therapy LLC
- Aida Jacic
- Johanna B. Jackson
All providers in York, SC · General Practice Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.