NPIMap

Individual provider Active NPI

Douglas L. Tiedt, MD

  • Obstetrics & Gynecology Physician
  • Lancaster, SC
National Provider Identifier
1912951476
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13596 Issued in SC
Practice address
1370 W Meeting St
Lancaster, SC 29720-2222
Phone
(803) 286-6997
Fax
(803) 283-3999
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13596 SC Primary

Addresses

Primary practice location

1370 W Meeting St
Lancaster, SC 29720-2222

Mailing address

PO Box 1897
Lancaster, SC 29721-1897
Phone (803) 286-6997

Other identifiers 1

IdentifierTypeStateIssuer
135963MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000326 SC Practitioner - Obstetrics/Gynecology 5193913663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

834 W Meeting St
Lancaster, SC 29720-6220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Mar 26, 2022 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Musc Community Physicians Obstetrics & Gynecology CurrentSince Mar 26, 2022 Accepting new patients
Carolina Family Care, Inc Obstetrics & Gynecology CurrentSince Apr 12, 2021 Accepting new patients
Carolina Family Care, Inc CurrentSince Apr 12, 2021 Accepting new patients
Medical University Hospital Authority CurrentSince Apr 15, 2021 Accepting new patients
Medical University Hospital Authority CurrentSince Apr 15, 2021 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Medical University Hospital Authority Obstetrics & Gynecology Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1 Medical Park Dr
Ste C
Chester, SC 29706
Phone (803) 285-1411

834 W Meeting St
Ste A
Lancaster, SC 29720
Phone (803) 285-1411

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912951476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297211897",
            "telephone_number": "803-286-6997",
            "fax_number": "803-283-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202222",
            "telephone_number": "803-286-6997",
            "fax_number": "803-283-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDT",
        "first_name": "DOUGLAS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "13596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135963",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.