Michael Kenneth Foxworth II, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35471 Issued in SC

Practice address

1920 2ND Loop Rd
Florence, SC 29501-6123

Phone

(843) 432-3700

Fax

(843) 667-1362

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHIEAD
• Direct secure messaging: michael.foxworth@hop.eclinicaldirectplus.com

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.

• Hopehealth Inc

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1821002411

  SC

  Medicare reassignment NPD
• Hopehealth Inc

  • Federally Qualified Health Center (FQHC)
  • Lake City, SC
  • NPI 1649069618
  NPD
• Hopehealth, Inc

  • Federally Qualified Health Center (FQHC)
  • Manning, SC
  • NPI 1013259712
  NPD
• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  Pediatrics

  NPD (past)
• Virginia Hospitalists Inc

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1427047562
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1679782866",
    "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": "1920 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016123",
            "telephone_number": "843-432-3700",
            "fax_number": "843-667-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTH",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "SC",
            "license": "35471",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "35471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354716",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ryanne Foster
• Gary Fowler
• Michael Brandon Fowler
• Daniel Jay Fox, MD
• Mark A Fox, MD
• Kevin Preston Foy, PA
• Dennis Michael Fraley Jr., CRNA
• Francis Marion University
• Francis Marion University
• Francis Marion University

• All providers in Florence, SC
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.

Verify at the official NPI Registry.