Michael A McGinnis, DDS MS

Primary specialty

DentistTaxonomy code 122300000X

License

3273 Issued in SC

Practice address

1210 Wilson Hall Rd
Sumter, SC 29150-1889

Phone

(803) 905-4404

Fax

(803) 905-4406

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 18, 2013 through Jul 18, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sumter Oral & Maxillofacial Surgery PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Sumter, SC
  • NPI 1083677884
  NPD (past) Authorized official

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780648576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501889",
            "telephone_number": "803-905-4404",
            "fax_number": "803-905-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501889",
            "telephone_number": "803-905-4404",
            "fax_number": "803-905-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3273",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "872701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z32732",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88003121",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ansel R McFaddin III, M.D.
• Catherine McFarlin
• Beth McGee
• Miranda Miles McGee, PHARMD
• John Richard McGinnis, DC
• Thomas Glynn McIlwain, OTR/L
• Breanna McIntosh, MA, CCC-SLP
• Skylar Sanders McIntosh, CCC-SLP
• Tracy Barwick McIntosh
• Paula McKnight-Leggette, APRN FNP-BC

• Dentist in Sumter, SC
• Providers in Sumter, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.