NPIMap

Individual provider Active NPI

Theresa S Bishop, M.D.

  • Psychiatry Physician
  • Greenwood, SC
National Provider Identifier
1659304483
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20-22069 Issued in SC
Practice address
600 Monument St
Suite 224
Greenwood, SC 29646-2638
Phone
(864) 227-3908
Fax
(864) 227-2668
NPI assigned
Jul 7, 2006
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20-22069 SC Primary

Addresses

Primary practice location

600 Monument St
Suite 224
Greenwood, SC 29646-2638

Mailing address

600 Monument St
Suite 224
Greenwood, SC 29646-2638
Phone (864) 227-3908

Other identifiers 1

IdentifierTypeStateIssuer
N01253MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000817 SC Practitioner - Psychiatry 0840324653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-1649

901 W Greenwood St
Suite 1
Abbeville, SC 29620-5727
Phone (864) 366-9681

PO Box
Suite 887
Abbeville, SC 29620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20-22069SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 2, 2014 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry CurrentSince May 2, 2014 Accepting new patients
Abbeville County Memorial Hospital CurrentSince May 17, 2012 Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Medical Group Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

Interoperability endpoints

  • Direct secure messaging: tbishop121909@selfregional.direct-ci.net

Organizations & group practices 7

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1659304483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MONUMENT ST",
            "address_2": "SUITE 224",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462638",
            "telephone_number": "864-227-3908",
            "fax_number": "864-227-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MONUMENT ST",
            "address_2": "SUITE 224",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462638",
            "telephone_number": "864-227-3908",
            "fax_number": "864-227-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "THERESA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "20-22069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01253",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.