Active NPI
Edward William Duffy Jr., MD
- Radiation Oncology Physician
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 16122
- Practice address
- 130 North Washington Street
Sumter, SC 29150 - Phone
- (803) 774-8888
- Fax
- (803) 778-6376
- NPI assigned
- Jan 22, 2007
- Last updated
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 16122 | SC | Primary |
Addresses
Primary practice location
130 North Washington Street
Sumter, SC 29150
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161229 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eduffy64576@direct.ghs.myhfn.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Medical University of South Carolina College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 N Washington St
Sumter, SC 29150-4920
Phone (803) 774-8888
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Palmetto Radiation Oncology PA | Radiation Oncology | Current | Accepting new patients |
Locations
200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
130 N Washington St
Sumter, SC 29150
Phone (803) 774-8888
Interoperability endpoints
- eduffy64576@direct.ghs.myhfn.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Radiation Oncology Physician
- Florence, SC
- NPI 1912072315
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
dba MUSC Health Senior Retreat
- Psychiatric Hospital
- Camden, SC
- NPI 1306416680
-
dba MUSC Health Kershaw Medical Center
- General Acute Care Hospital
- Camden, SC
- NPI 1487220307
-
dba Prisma Health Tuomey Hosptial
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1568516383",
"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": "130 NORTH WASHINGTON STREET",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-774-8888",
"fax_number": "803-778-6376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "EDWARD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "16122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161229",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eduffy64576@direct.ghs.myhfn.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "eduffy64576@direct.ghs.myhfn.org",
"address_1": "130 North Washington Street",
"city": "Sumter",
"state": "SC",
"country_code": "US",
"postal_code": "29150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.