Active NPI
Carol N Pryby, MD
- Family Medicine Physician
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 90939
- Practice address
- 139 Lila Doyle Dr
Seneca, SC 29672-9495 - Phone
- (864) 482-3483
- Fax
- (864) 482-3497
- NPI assigned
- Dec 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 046215 | GA | |
| Hospitalist Physician | 208M00000X | 046215 | GA | |
| Family Medicine Physician | 207Q00000X | 90939 | SC | Primary |
Addresses
Primary practice location
139 Lila Doyle Dr
Seneca, SC 29672-9495
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01268617 | Other | GA | RAILROAD MEDICARE |
| 000808497AD | Medicaid | GA | |
| P00172236 | Other | RR MEDICARE | |
| G46215 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040203000102 | GA | Practitioner - Family Practice | 4688567951 | Reassigns benefits to 2 organizations |
| I20231030003914 | SC | Practitioner - Family Practice | 4688567951 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Mercer University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 Lila Doyle Dr
Seneca, SC 29672-9495
Phone (864) 482-3483
Hospital & facility affiliations
- Prisma Health Oconee Memorial Hospital
- Prisma Health Greenville Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Family Medicine | Current | Accepting new patients |
| MPPG, Inc. | Family Medicine | Current | Accepting new patients |
| Health Services of Central Georgia, Inc | Family Medicine | Past | Accepting new patients |
| Cornerstone Medical Assoc., LLC | Past | Accepting new patients | |
| Dodge County Emergency Physicians LLC | Past | Accepting new patients | |
| Personal Recovery Network LLC | Past | Accepting new patients | |
| Midstate Family Medicine, PC | Family Medicine | Past | Accepting new patients |
| McCabe Medical Group LLC | Past | Accepting new patients | |
| Emory Specialty Associates, LLC | Family Medicine | Past | Accepting new patients |
| Georgian Metropolis Emergency Physicians LLC | Past | Accepting new patients | |
| Swift Emergency Physicians LLC | Past | Accepting new patients | |
| Dodge Emergency Group LLC | Past | Accepting new patients | |
| Georgia Heart Institute LLC | Past | Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
139 Lila Doyle Dr
Seneca, SC 29672
Phone (864) 482-3483
Interoperability endpoints
- cpryby736604@direct.ghs.myhfn.org
- cpryby2016280@direct.trinity-health.org
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Family Medicine, SC
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine, GA
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Pediatrics Physician
- Perry, GA
- NPI 1275575888
-
- Emergency Medicine Physician
- Eastman, GA
- NPI 1811176795
-
- Nurse Practitioner
- Eastman, GA
- NPI 1164481065
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1477976520
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1861645483
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Family Medicine
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1528044948",
"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": "139 LILA DOYLE DR",
"city": "SENECA",
"state": "SC",
"postal_code": "296729495",
"telephone_number": "864-482-3483",
"fax_number": "864-482-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYBY",
"first_name": "CAROL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-17",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "046215",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "046215",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "90939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01268617",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000808497AD",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00172236",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G46215",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.