Active NPI
Dwayne J Livigni, DO
- Anesthesiology Physician
- Mullins, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO1614
- Practice address
- 2829 E Highway 76
Mullins, SC 29574-6035 - Phone
- (843) 661-6215
- Fax
- (828) 360-3080
- NPI assigned
- May 12, 2006
- Last updated
- Dec 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 000520 | CT | |
| Anesthesiology Physician | 207L00000X | DO1614 | SC | Primary |
Addresses
Primary practice location
2829 E Highway 76
Mullins, SC 29574-6035
Mailing address
3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Q6531 | Other | NY | EMPIRE BC |
| 001005207 | Medicaid | CT |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1614 | SC | MD | Chiropractor |
| DO1614 | SC | MD | Anesthesiology Physician |
| 000520 | CT | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Florence Surgery & Laser Center LLC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Florence Surgery & Laser Center LLC | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Anesthesiology | Current | Accepting new patients |
| Griffin Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Network Services, LLC | Anesthesiology | Past | Accepting new patients |
| Integrated Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
Locations
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Ophthalmologic Surgery Clinic/Center
- Florence, SC
- NPI 1912959560
-
- Ambulatory Surgical Clinic/Center
- Florence, SC
- NPI 1437319027
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
-
- Anesthesiology Physician
- Derby, CT
- NPI 1124079421
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1982655262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD",
"address_2": "SUITE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-0705",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 E HIGHWAY 76",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746035",
"telephone_number": "843-661-6215",
"fax_number": "828-360-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVIGNI",
"first_name": "DWAYNE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "000520",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "DO1614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "8Q6531",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001005207",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.