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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

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

  • Newberry County Memorial Hospital Hospital, Newberry, SC, CCN 420053

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100215000197 SC Practitioner - Family Practice 0941229249 Reassigns benefits to 1 organization

National Provider Directory

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21790 SC Primary

Addresses

NPPES NPI Registry

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GP3499MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2022.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3499",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.