NPIMap

Organization Active NPI

Carolina Pines Ear Nose Throat & Allergy Associates LLC

Doing business as Carolina Pines ENT

  • Otolaryngology Physician
  • Newberry, SC
National Provider Identifier
1992316764
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CAROLINA PINES EAR NOSE THROAT & ALLERGY ASSOCIATES LLC
Doing business as
Carolina Pines ENT
Practice address
2562 Kinard St
Newberry, SC 29108-2910
Phone
(803) 630-5353
Fax
(803) 630-5343
NPI assigned
Aug 13, 2020
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Wayne Joseph Harsha, MDNPI 1760459283
Title
Owner, Otolaryngologist
Phone
(803) 630-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2562 Kinard St
Newberry, SC 29108-2910

Mailing address

PO Box 66
Newberry, SC 29108-0066
Phone (803) 630-5353

Other names 1

  • Carolina Pines ENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201015000828 SC Part B Supplier - Clinic/Group Practice 5799105631 Receives reassigned benefits from 3 practitioners
Practice locations: Newberry, SC

National Provider Directory

National Provider Directory

Locations

2032 Medical Park Dr
Newberry, SC 29108
Phone (803) 276-3276

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1992316764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291080066",
            "telephone_number": "803-630-5353",
            "fax_number": "803-630-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082910",
            "telephone_number": "803-630-5353",
            "fax_number": "803-630-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PINES EAR NOSE THROAT & ALLERGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "HARSHA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER, OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "803-630-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pines ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Pines ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.