Carolina Pines Ear Nose Throat & Allergy Associates LLC

Key facts

NPI: 1992316764
Entity type: Organization (NPI type 2)
Primary specialty: Otolaryngology Physician 207Y00000X
Legal business name: CAROLINA PINES EAR NOSE THROAT & ALLERGY ASSOCIATES LLC
Practice address: 2562 Kinard St
Newberry, SC 29108-2910
Phone: (803) 630-5353
Fax: (803) 630-5343
NPI assigned: Aug 13, 2020
Organization subpart: No

Authorized official

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

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Wayne Joseph Harsha, M.D. Otolaryngology Physician · Newberry, SC · NPI 1760459283

Medicare reassignment NPD Authorized official OTOLARYNGOLOGY · SC
Heather Hendrix Armstrong, AU.D. Audiologist · Greenwood, SC · NPI 1194909333

Medicare reassignment NPD SC
Beatriz Lopez Martinez, FNP Family Nurse Practitioner · Newberry, SC · NPI 1508656349

Medicare reassignment NPD SC

Medicare participation

Medicare fee-for-service enrollment: Enrolled in SC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20201015000828	SC	Part B Supplier - Clinic/Group Practice	5799105631	Receives reassigned benefits from 3 practitioners Practice locations: Newberry, SC

National Provider Directory

Locations

2032 Medical Park Dr
Newberry, SC 29108
Phone (803) 321-1110

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Otolaryngology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Y00000X			Yes

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

Carolina Pines ENT Doing business as

Other providers in Newberry, SC

All providers in Newberry, SC · Otolaryngology Physician in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.