Antje Southwick Dew, MD
Individual provider Active NPI Pediatrics Physician · Simpsonville, SC
NPI 1700855475 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1700855475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD33907 (SC)
- Practice address
- 15 Benion Way Ste C
Simpsonville, SC 29681-5285 - Phone
- (616) 648-3088
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078492 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD33907 | SC | Yes |
Addresses
Primary practice location
15 Benion Way Ste C
Simpsonville, SC 29681-5285
Mailing address
15 Benion Way
Simpsonville, SC 29681-5285
Phone (616) 648-3088
Other providers in Simpsonville, SC
- Dentistry at Simpsonville
- Noah Matthew Denz
- Mehul Desai
- Garth Byron Deshong
- Tameka Gloria Devlin
- Dialysis Newco LLC
- Diamond Health & Rehab of Simpsonville, LLC
- Eileen Diaz
- John Casey Dick
- Selina Dickey
All providers in Simpsonville, SC · Pediatrics Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.