Individual provider Active NPI

Thomas Robert Dyar, MD

  • Obstetrics & Gynecology Physician
  • Easley, SC
National Provider Identifier
1679563852
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19496 Issued in SC
Practice address
1351 Crestview Rd
Easley, SC 29642-2408
Phone
(864) 855-5006
Fax
(864) 850-0240
NPI assigned
Oct 27, 2005
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 047311 GA
Obstetrics & Gynecology Physician 207V00000X 19496 SC Primary

Addresses

Primary practice location

1351 Crestview Rd
Easley, SC 29642-2408

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

170 Curtis Pkwy NE
Suite 1
Calhoun, GA 30701-2062
Phone (706) 879-5770

Other identifiers 3

IdentifierTypeStateIssuer
003175707AMedicaidGA
003175707BMedicaidGA
194961MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdyar64693@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191028001769 SC Practitioner - Obstetrics/Gynecology 7214015858 Reassigns benefits to 2 organizations
I20240212002337 NC Practitioner - Obstetrics/Gynecology 7214015858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg South Carolina PCGroup PAC ID 7012182504, 26 clinicians

Practice addresses (Care Compare)

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (800) 967-2289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047311GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Jan 3, 2024 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Aug 23, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Apr 1, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 576-8798

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: tdyar64693@direct.ghs.myhfn.org

Organizations & group practices 5

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 6

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1679563852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 CRESTVIEW RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422408",
            "telephone_number": "864-855-5006",
            "fax_number": "864-850-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Curtis Pkwy NE",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307012062",
            "country_code": "US",
            "telephone_number": "706-879-5770",
            "fax_number": "706-624-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYAR",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "047311",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "19496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175707A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175707B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194961",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdyar64693@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tdyar64693@direct.ghs.myhfn.org",
            "address_1": "1351 Crestview Rd",
            "city": "Easley",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296422408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.