Active NPI
Michael Charles Tobin, DO, MBA
- Family Medicine Physician
- Greer, SC
National Provider Identifier
1801339064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4753
- Practice address
- 221 Watkins Farm Dr
Greer, SC 29651-7539 - Phone
- (404) 680-8315
- NPI assigned
- Nov 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4753 | SC | Primary |
Addresses
Primary practice location
221 Watkins Farm Dr
Greer, SC 29651-7539
Mailing address
221 Watkins Farm Dr
Greer, SC 29651-7539
Phone (404) 680-8315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4753 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1801339064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 WATKINS FARM DR",
"city": "GREER",
"state": "SC",
"postal_code": "296517539",
"telephone_number": "404-680-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WATKINS FARM DR",
"city": "GREER",
"state": "SC",
"postal_code": "296517539",
"telephone_number": "404-680-8315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"credential": "DO, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "4753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.