Active NPI
Mary Tessa Newton
- Pediatric Nurse Practitioner
- Greenwood, SC
National Provider Identifier
1609783349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN320601
- Practice address
- 210 Wells Ave
Greenwood, SC 29646-3843 - Phone
- (706) 840-2923
- NPI assigned
- Aug 26, 2026
- Last updated
- Aug 26, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN320601 | GA | Primary |
Addresses
Primary practice location
210 Wells Ave
Greenwood, SC 29646-3843
Mailing address
347 Tolbert Dr
Greenwood, SC 29649-6914
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1609783349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 TOLBERT DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296496914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463843",
"telephone_number": "706-840-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "MARY",
"middle_name": "TESSA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN320601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.