Individual provider Active NPI

Pravina B Sheth, MD

  • Psychiatry Physician
  • Orangeburg, SC
National Provider Identifier
1700810561
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SC7926 Issued in SC
Practice address
2319 St Matthews Road
Orangeburg, SC 29118
Phone
(803) 536-1571
Fax
(803) 536-1463
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2021036350 MO
Psychiatry Physician 2084P0800X SC7926 SC Primary

Addresses

Primary practice location

2319 St Matthews Road
Orangeburg, SC 29118

Mailing address

2319 St Matthews Road
Orangeburg, SC 29118
Phone (803) 536-1571

Other practice location 1

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-7918

Other identifiers 1

IdentifierTypeStateIssuer
079266MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AK, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090116000499 SC Practitioner - Psychiatry 5799848750 Reassigns benefits to 3 organizations
I20090821000205 AK Practitioner - Psychiatry 5799848750 Reassigns benefits to 1 organization
I20100907000541 GA Practitioner - Psychiatry 5799848750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7926SCMDProfessional Counselor
SC7926SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Feb 1, 2023 Accepting new patients
Mat Su Valley Medical Center LLC Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 1, 2021 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 1, 2021 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
North Atlanta Professional Services LLC Psychiatry CurrentSince May 14, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 1, 2021 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Nov 12, 2014 Accepting new patients
Spartanburg Medical Center CurrentSince Dec 1, 2023 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Nov 12, 2014 Accepting new patients
State of Alaska Department of Administration PastSince Aug 8, 2013 Accepting new patients

Locations

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

201 Hospital Rd
Canton, GA 30114
Phone (770) 479-1941

3073 Panthersville Rd
Decatur, GA 30034
Phone (404) 243-2100

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700

1035 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0442

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

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

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

5573 Carolina Hwy
Denmark, SC 29042
Phone (803) 793-4274

525 Lafayette Cir
Georgetown, SC 29440
Phone (843) 546-6107

2755 S Highway 14
Ste 1200D
Greer, SC 29650
Phone (864) 849-9333

900 S 4th St
Hartsville, SC 29550
Phone (843) 332-4141

1375 Gilway St
Holly Hill, SC 29059
Phone (803) 496-3410

2319 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-1571

391 Serpentine Dr
Ste 400
Spartanburg, SC 29303
Phone (864) 560-7517

112 Guess Ln
St Matthews, SC 29135
Phone (803) 874-2301

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1700810561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 ST MATTHEWS ROAD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29118",
            "telephone_number": "803-536-1571",
            "fax_number": "803-536-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 ST MATTHEWS ROAD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29118",
            "telephone_number": "803-536-1571",
            "fax_number": "803-536-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682655",
            "country_code": "US",
            "telephone_number": "660-562-7918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETH",
        "first_name": "PRAVINA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2021036350",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "SC7926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079266",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.