Active NPI
Earl Clinton Wood IV, M.D.
- Radiation Oncology Physician
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 34015
- Practice address
- 1325 Spring St
Greenwood, SC 29646-3860 - Phone
- (864) 725-7100
- Fax
- (864) 725-7101
- NPI assigned
- Apr 5, 2007
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 34015 | SC | Primary |
Addresses
Primary practice location
1325 Spring St
Greenwood, SC 29646-3860
Mailing address
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340152 | Medicaid | SC |
Other names 1
- Clint Wood
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwood188628@selfregional.direct-ci.net |
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
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Kentucky College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4272
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34015 | SC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
104 Wells Ave
Greenwood, SC 29646
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
298 Commerce Dr
Newberry, SC 29108
Phone (803) 321-3232
Interoperability endpoints
- cwood188628@selfregional.direct-ci.net
- clint.wood@selfregional.direct.varian.com
Organizations & group practices 4
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.
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Psychiatry Physician
- Greenwood, SC
- NPI 1205141371
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Abbeville, SC
- NPI 1063449361
-
- Medicare Defined Swing Bed Hospital Unit
- Abbeville, SC
- NPI 1811096423
-
- General Acute Care Hospital
- Newberry, SC
- NPI 1316030083
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
-
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
-
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1962524314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463860",
"telephone_number": "864-725-7100",
"fax_number": "864-725-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463860",
"telephone_number": "864-725-7100",
"fax_number": "864-725-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "EARL",
"middle_name": "CLINTON",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-05",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "34015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340152",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwood188628@selfregional.direct-ci.net",
"affiliation": "N",
"address_1": "1325 Spring St",
"city": "Greenwood",
"state": "SC",
"country_code": "US",
"postal_code": "296463860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CLINT",
"last_name": "WOOD",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.