Individual provider Active NPI

Tindal Wrenn McLaurin, MD

  • Plastic and Reconstructive Surgery Physician
  • Greer, SC
National Provider Identifier
1982196762
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
92229 Issued in SC
Practice address
301 The Pkwy
Greer, SC 29650-5221
Phone
(864) 657-5156
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 92229 SC Primary

Addresses

Primary practice location

301 The Pkwy
Greer, SC 29650-5221

Mailing address

301 The Pkwy
Greer, SC 29650-5221
Phone (864) 968-0168

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023000323 SC Practitioner - Plastic and Reconstructive Surgery 0648525394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Plastic SurgeryGroup PAC ID 0840103263, 4 clinicians

Practice addresses (Care Compare)

301 The Pkwy
Suite a
Greer, SC 29650-5221
Phone (864) 968-0168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Plastic Surgery CurrentSince Aug 12, 2024 Accepting new patients

Locations

301 The Pkwy
Ste B
Greer, SC 29650
Phone (864) 879-6494

301 The Pkwy
Greer, SC 29650
Phone (864) 657-5156

301 The Pkwy
Ste A
Greer, SC 29650
Phone (864) 968-0168

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1982196762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THE PKWY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505221",
            "telephone_number": "864-968-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 THE PKWY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505221",
            "telephone_number": "864-657-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURIN",
        "first_name": "TINDAL",
        "middle_name": "WRENN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "92229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.