Gary Bogart Ewing, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

17913 Issued in SC

Practice address

2 Medical Park Rd
Suite 203
Columbia, SC 29203-6808

Phone

(803) 212-7130

Fax

(803) 212-7160

NPI assigned

Mar 21, 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• South Carolina Dept of Mental Health Accounting Office

  • Psychiatric Hospital
  • Anderson, SC
  • NPI 1376595041
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, SC
  • NPI 1760596480
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• South Carolina Dept of Mental Health Accounting Office

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1205888260
  NPD
• South Carolina Dept of Mental Health Accounting Office

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1225080260
  NPD
• University Specialty Clinics - University Primary Care

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1578595856
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1861451650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036808",
            "telephone_number": "803-212-7130",
            "fax_number": "803-212-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036808",
            "telephone_number": "803-212-7130",
            "fax_number": "803-212-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "GARY",
        "middle_name": "BOGART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "SC",
            "license": "17913",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "17913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179130",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah David Everett
• Kelsey Nichols Everhart
• Jill Grant Eversmann, M.S., CCC-SLP
• Evona'S Home Care
• Thomas W Ewart, M.D.
• Excel Home Healthcare LLC
• Excel Physical Therapy, LLC
• Excelsior Testing LLC
• Exceptional Experiences LLC
• Exclusive Recovery

• Occupational Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Occupational Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.