Tommy Scott Whitehead, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

728 Issued in SC

Practice address

516 Montague Ave
Greenwood, SC 29649-1942

Phone

(864) 223-1468

NPI assigned

Oct 5, 2006

Last updated

Mar 20, 2025By 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 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Self Regional Healthcare PartnersGroup PAC ID 1557606118, 36 clinicians

Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Abbeville County Memorial HospitalGroup PAC ID 7719891506, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071
• Edgefield County Healthcare an Affiliate of Self R Hospital, Edgefield, SC, CCN 421304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: twhitehead83891@selfregional.direct-ci.net

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.

• Abbeville County Memorial Hospital

  dba Abbeville Area Medical Center

  • Critical Access Hospital
  • Abbeville, SC
  • NPI 1063449361
  Medicare reassignment Care Compare group NPD
• Self Medical Group

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

  dba Montgomery Center for Family Medicine of SRH

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1326067703
  Medicare reassignment Care Compare group NPD
• Self Regional Healthcare Partners

  dba Edgefield County Healthcare, An Affiliate of Self Regional Healthcare

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105
  Medicare reassignment Care Compare group
• Carolina Health Centers, Inc.

  dba Uptown Family Practice

  • Federally Qualified Health Center (FQHC)
  • Greenwood, SC
  • NPI 1306979521
  Medicare reassignment
• Novant Health Urgent Cares LLC

  dba Novant Health Urgent Care

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1841026382
  Medicare reassignment
• Abbeville County Memorial Hospital

  dba Due West Family Medicine

  • Adult Medicine Physician
  • Due West, SC
  • NPI 1689048464
  NPD
• Carolina Health Centers, Inc.

  dba The Pendergrass Family Health Center

  • Family Medicine Physician
  • Ware Shoals, SC
  • NPI 1639202922
  NPD
• Carolina Health Centers, Inc.

  dba Carolina Health Centers at Newberry MHC

  • Federally Qualified Health Center (FQHC)
  • Newberry, SC
  • NPI 1669166054
  NPD
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD
• Self Regional Healthcare

  dba Self Medical Center Laurens

  • Family Medicine Physician
  • Laurens, SC
  • NPI 1114726460
  NPD
• Self Regional Healthcare Partners

  dba Edgefield Community Pharmacy

  • Community/Retail Pharmacy
  • Edgefield, SC
  • NPI 1073486494
  NPD

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
• Self Regional Healthcare Partners

  dba Edgefield County Healthcare, An Affiliate of Self Regional Healthcare

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1780770545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MONTAGUE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491942",
            "telephone_number": "864-223-1468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Gregor Mendel Cir",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296462315",
            "country_code": "US",
            "telephone_number": "864-229-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "TOMMY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Denise White
• Emma Louise White, D.O.
• Graceann Danielle White
• Michael Jay White, MD
• Stephanie R White
• Lauren R Whitfield, PHARM D
• Rebecca Anne Whittington, APRN
• Whole Life Dental
• Whole Life on-Site LLC
• Nancy Hart Wicker, MD

• Physician Assistant in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.