Individual provider Active NPI

Marian Barton Clinch, MD

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1609895523
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28114 Issued in SC
Practice address
300 Fleetwood Drive
Easley, SC 29640
Phone
(864) 644-8977
Fax
(864) 644-8975
NPI assigned
Jul 19, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28114 SC Primary

Addresses

Primary practice location

300 Fleetwood Drive
Easley, SC 29640

Mailing address

PO Box 444
Easley, SC 29641
Phone (864) 644-8977

Other identifiers 1

IdentifierTypeStateIssuer
GP1804MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080829000563 SC Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Addiction Medicine 6002982972 Reassigns benefits to 1 organization
Practice locations: Easley, SC

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannon Memorial HospitalGroup PAC ID 8123930666, 30 clinicians

Practice addresses (Care Compare)

123 WG Acker Dr
Pickens, SC 29671-2739
Phone (864) 878-4791

300 Fleetwood Dr
Easley, SC 29640-1912
Phone (864) 907-9112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28114SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon Memorial Hospital CurrentSince Dec 12, 2015 Accepting new patients
Cannon Memorial Hospital CurrentSince Dec 12, 2015 Accepting new patients

Locations

111 W Roper Rd
Easley, SC 29640
Phone (864) 897-8280

123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465

Interoperability endpoints

  • Direct secure messaging: mclinch45422@direct.anmedhealth.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1609895523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29641",
            "telephone_number": "864-644-8977",
            "fax_number": "864-644-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FLEETWOOD DRIVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "864-644-8977",
            "fax_number": "864-644-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINCH",
        "first_name": "MARIAN",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "28114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1804",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.