Active NPI
Kent B Sizemore, MD
- Pediatrics Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18291
- Practice address
- 500 N Fant St
Suite C
Anderson, SC 29621-5702 - Phone
- (864) 225-7798
- Fax
- (864) 260-3952
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18291 | SC | Primary |
Addresses
Primary practice location
500 N Fant St
Suite C
Anderson, SC 29621-5702
Mailing address
109 Essex Dr
Anderson, SC 29621-3318
Phone (864) 512-3850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182910 | Medicaid | SC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18291 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| Anmed Health | Past | Accepting new patients | |
| Anmed Health | Pediatrics | Past | Accepting new patients |
Locations
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
989 Ribaut Rd
Ste 260
Beaufort, SC 29902
Phone (843) 522-7600
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
Interoperability endpoints
- kent.sizemore.1@16436.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Beaufort, SC
- NPI 1598713117
-
- Certified Registered Nurse Anesthetist
- Manning, SC
- NPI 1508218793
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
dba McLeod Family Medicine-Timmonsville
- Rural Health Clinic/Center
- Timmonsville, SC
- NPI 1003461773
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1639199664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ESSEX DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213318",
"telephone_number": "864-512-3850",
"fax_number": "864-512-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N FANT ST",
"address_2": "SUITE C",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215702",
"telephone_number": "864-225-7798",
"fax_number": "864-260-3952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIZEMORE",
"first_name": "KENT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "18291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182910",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.