Newberry Family Heatlh Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23345 Issued in SC

Legal business name

NEWBERRY FAMILY HEATLH CENTER

Practice address

99 N Mill St
Little Mountain, SC 29075-8788

Phone

(803) 945-1005

NPI assigned

May 13, 2006

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn C. Dowd

Title

CPC CMC

Phone

(803) 405-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Newberry Family Health Center PA

  dba Bernardo Geriatrics & Home Care

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1750367405

  O20060106000404

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Newberry Family Health Center PA

  dba Bernardo Geriatrics & Home Care

  • Rural Health Clinic/Center
  • Newberry, SC
  • NPI 1245367804

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1831140094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KINARD STREET",
            "address_2": "SUITE 200",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082911",
            "telephone_number": "803-405-1900",
            "fax_number": "803-405-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N MILL ST",
            "city": "LITTLE MOUNTAIN",
            "state": "SC",
            "postal_code": "290758788",
            "telephone_number": "803-945-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY FAMILY HEATLH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DOWD",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CPC CMC",
        "authorized_official_telephone_number": "803-405-1900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1844",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigha Harbert, OTR/L
• David Edward Lewis, LPC
• Little Mountain Dental, PA
• Whitney Shealy Miller, PT, GCS
• Newberry County Memorial Hospital (Little Mountain Family Health Center)
• Ann Louise Pitner
• Kayla Price
• Rivers Amick Counseling Services (Toni N. Amick)

• Family Medicine Physician in Little Mountain, SC
• Providers in Little Mountain, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.