Individual provider Active NPI

Dwayne J Livigni, DO

  • Anesthesiology Physician
  • Mullins, SC
National Provider Identifier
1982655262
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO1614 Issued in SC
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8Q6531OtherNYEMPIRE BC
001005207MedicaidCT

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
I20120816000199 SC Practitioner - Anesthesiology 7113053448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1614SCMDChiropractor
DO1614SCMDAnesthesiology Physician
000520CTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Nov 30, 2019 Accepting new patients
Florence Surgery & Laser Center LLC CurrentSince Apr 22, 2015 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Sep 26, 2016 Accepting new patients
Florence Surgery & Laser Center LLC CurrentSince Apr 22, 2015 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Feb 27, 2017 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.

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

Verify at the official NPI Registry.