Individual provider Active NPI

Joseph Villaneuva Acaylar, MD

  • Family Medicine Physician
  • Timmonsville, SC
National Provider Identifier
1649496803
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30333 Issued in SC
Practice address
210 E Market St
Timmonsville, SC 29161-1812
Phone
(843) 346-3730
Fax
(843) 346-7687
NPI assigned
Apr 17, 2007
Last updated
May 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 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 30333 SC Primary

Addresses

Primary practice location

210 E Market St
Timmonsville, SC 29161-1812

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other identifiers 1

IdentifierTypeStateIssuer
303335MedicaidSC

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
I20071121000575 SC Practitioner - Family Practice 1951499128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians

Practice addresses (Care Compare)

210 E Market St
Timmonsville, SC 29161-1812
Phone (843) 346-3730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30333SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth, Inc CurrentSince Aug 18, 2014 Accepting new patients
Hopehealth Inc CurrentSince Aug 18, 2014 Accepting new patients
Hopehealth Inc Current Accepting new patients
Chesterfield-Marlboro, LP Family Medicine Past Accepting new patients

Locations

1920 2nd Loop Rd
Florence, SC 29501
Phone (843) 432-3700

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

210 E Market St
Timmonsville, SC 29161
Phone (843) 346-3730

Interoperability endpoints

  • Direct secure messaging: joseph.acaylar@hop.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1649496803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MARKET ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291611812",
            "telephone_number": "843-346-3730",
            "fax_number": "843-346-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACAYLAR",
        "first_name": "JOSEPH",
        "middle_name": "VILLANEUVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "30333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303335",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timmonsville, SC

Sources for this page

Verify at the official NPI Registry.