Individual provider Active NPI

Jorge O Garcia, M.D.

  • Family Medicine Physician
  • Newberry, SC
National Provider Identifier
1619954708
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21790 Issued in SC
Practice address
2531 Evans St
Suite a
Newberry, SC 29108-2939
Phone
(803) 276-7978
Fax
(803) 675-9986
NPI assigned
Dec 29, 2005
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 21790 SC Primary

Addresses

Primary practice location

2531 Evans St
Suite a
Newberry, SC 29108-2939

Mailing address

2531 Evans St
Suite a
Newberry, SC 29108-2939
Phone (803) 276-7978

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
I20100215000197 SC Practitioner - Family Practice 0941229249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2531 Evans St
Suite a
Newberry, SC 29108-2939
Phone (803) 276-7978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21790SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge O Garcia, M.D., LLC Family Medicine CurrentSince Aug 5, 2002 Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients

Locations

2531 Evans St
#A
Newberry, SC 29108
Phone (803) 276-7978

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1619954708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 EVANS ST",
            "address_2": "SUITE A",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082939",
            "telephone_number": "803-276-7978",
            "fax_number": "803-675-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 EVANS ST",
            "address_2": "SUITE A",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082939",
            "telephone_number": "803-276-7978",
            "fax_number": "803-675-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JORGE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.