Active NPI
Terry B Levenson, MD
- Obstetrics & Gynecology Physician
- Conway, SC
National Provider Identifier
1902869696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 09347
- Practice address
- 8004 Myrtle Trace Dr
Conway, SC 29526-8945 - Phone
- (843) 347-7216
- Fax
- (843) 347-7218
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 09347 | SC | Primary |
Addresses
Primary practice location
8004 Myrtle Trace Dr
Conway, SC 29526-8945
Mailing address
PO Box 2180
Conway, SC 29528-2180
Phone (843) 347-7216
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC6427 | Medicaid | SC | |
| 093473 | Medicaid | SC | |
| 621213 | Other | SC | FIRST CHOICE IDENTIFIER |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080408000391 | SC | Practitioner - Obstetrics/Gynecology | 1153408612 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical University of South Carolina College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 Singleton Ridge Rd
Conway, SC 29526-9142
8004 Myrtle Trace Dr
Conway, SC 29526-8945
Hospital & facility affiliations
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.78 of 100
- Quality
- 55.48
- Improvement activities
- 0
- Cost
- 74.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9347 | SC | MD | Clinical Social Worker |
| 09347 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Current | Accepting new patients |
Locations
394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050
8004 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-8939
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
808 Farrar Dr
Conway, SC 29526
Phone (843) 234-8700
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1902869696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2180",
"city": "CONWAY",
"state": "SC",
"postal_code": "295282180",
"telephone_number": "843-347-7216",
"fax_number": "843-234-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 MYRTLE TRACE DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268945",
"telephone_number": "843-347-7216",
"fax_number": "843-347-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENSON",
"first_name": "TERRY",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "09347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC6427",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093473",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CHOICE IDENTIFIER",
"identifier": "621213",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.