Individual provider Active NPI

Donna C Orvin, MD

  • Psychiatry Physician
  • Conway, SC
National Provider Identifier
1699712539
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26508 Issued in SC
Practice address
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone
(843) 347-4888
NPI assigned
May 31, 2006
Last updated
Dec 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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 26508 SC Primary

Addresses

Primary practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Mailing address

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone (843) 347-4888

Other identifiers 1

IdentifierTypeStateIssuer
3344OtherSCMEDICARE PIN FOR WCMH

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
I20040115000136 SC Practitioner - Psychiatry 1153222088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
DJB MD LLCGroup PAC ID 8325467384, 8 clinicians

Practice addresses (Care Compare)

115 Fairchild St
Suite 170
Daniel Island, SC 29492-7602
Phone (803) 339-1563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26508SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jun 3, 2019 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
DJB MD LLC Psychiatry CurrentSince Feb 26, 2021 Accepting new patients
Berkshire CBT Services, LLC Past Accepting new patients
Bridges Psychiatry Psychiatry PastSince Dec 1, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Past Accepting new patients
Sweetgrass Psychiatry LLC Psychiatry PastSince Jan 1, 2018 Accepting new patients

Locations

817 Brown St
Bishopville, SC 29010
Phone (803) 484-9414

115 Fairchild St
Ste 170
Daniel Island, SC 29492
Phone (803) 339-1563

215 N Magnolia St
Sumter, SC 29150

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1699712539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268903",
            "telephone_number": "843-347-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268903",
            "telephone_number": "843-347-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORVIN",
        "first_name": "DONNA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "26508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN FOR WCMH",
            "identifier": "3344",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.