Active NPI
Terri L. Fites
- Family Medicine Physician
- Sumter, SC
National Provider Identifier
1720004823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29269
- Practice address
- 129 N Washington St
Sumter, SC 29150-4949 - Phone
- (803) 774-5248
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39399 | KY | |
| Family Medicine Physician | 207Q00000X | 29269 | SC | Primary |
Addresses
Primary practice location
129 N Washington St
Sumter, SC 29150-4949
Mailing address
PO Box 2517
Sumter, SC 29151-2517
Phone (803) 774-5248
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048580H9 | Medicaid | IN | |
| 64104334 | Medicaid | KY |
Other names 1
- Miss Terri L Donaldson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29269 | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1720004823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2517",
"city": "SUMTER",
"state": "SC",
"postal_code": "291512517",
"telephone_number": "803-774-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N WASHINGTON ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504949",
"telephone_number": "803-774-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITES",
"first_name": "TERRI",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "39399",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "29269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048580H9",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64104334",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRI",
"last_name": "DONALDSON",
"middle_name": "L",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.