Devin Antonovich, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MMD.39925.LL Issued in SC

Practice address

176 McSwain Dr
West Columbia, SC 29169-4825

Phone

(843) 797-3636

NPI assigned

Jul 29, 2016

Last updated

Apr 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

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

Specialty

Anesthesiology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Trident Pain Center LLCGroup PAC ID 7911897269, 18 clinicians

Hyper HealingGroup PAC ID 3577821958, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dantonovich195901@direct.musc.edu

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.

• Hyper Healing

  dba Hyper Healing Medical Clinics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • North Charleston, SC
  • NPI 1508381567

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Trident Pain Center LLC

  • Interventional Pain Medicine Physician
  • N Charleston, SC
  • NPI 1801992961

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847
  Medicare reassignment Care Compare group
• Self Regional Healthcare

  dba Montgomery Center for Family Medicine of SRH

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1326067703
  Medicare reassignment Care Compare group
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694

  Multi-Specialty

  NPD
• Self Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1932657301
  NPD
• Self Regional Healthcare

  dba Self Medical Center Laurens

  • Family Medicine Physician
  • Laurens, SC
  • NPI 1114726460

  Multi-Specialty

  NPD
• Self Regional Healthcare

  dba Self Regional Neurology

  • Neurology Physician
  • Greenwood, SC
  • NPI 1285502559

  Multi-Specialty

  NPD
• Trident Pain Center LLC

  • Pain Medicine Physician
  • West Columbia, SC
  • NPI 1659915445
  NPD
• Self Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Greenwood, SC
  • NPI 1134442890

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Self Regional Healthcare

  dba Pain Management Greenwood

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1013867498

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  dba SRH - Inpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612
  Care Compare affiliation
• Self Regional Healthcare

  dba SRH - Outpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1407887003
  Care Compare affiliation
• Self Regional Healthcare

  dba Pain Management Laurens

  • Pain Medicine (Anesthesiology) Physician
  • Clinton, SC
  • NPI 1720938103

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1770036410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR STE G",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MCSWAIN DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694825",
            "telephone_number": "843-797-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Highland Center Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292039127",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Eddie Chasteen Dr",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294885728",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-725-4095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22580 Highway 76 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laurens",
            "state": "SC",
            "postal_code": "293608460",
            "country_code": "US",
            "telephone_number": "864-725-4673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 N Highway 52",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613910",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9267 Medical Plaza Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069139",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONOVICH",
        "first_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "39925",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "MMD.39925.LL",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "39925",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "SC",
            "license": "39925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399251",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Andrews
• Madeline Graham Andrews, PA-C
• Annie McBeth Home Health Care LLC
• Timothy Antley
• Marc C Antonetti, MD
• Apria Healthcare LLC
• Sarah Meghan Arant Thompson, MD
• Amy Archer, PTA
• Arcis Healthcare (Midlands Orthopaedics, PA)
• Arcis Healthcare (Midlands Orthopaedics, PA)

• Anesthesiology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.