Newberry Pathology Associates PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

5559 Issued in SC

Legal business name

NEWBERRY PATHOLOGY ASSOCIATES PA

Practice address

2669 Kinard St
Newberry, SC 29108-2911

Phone

(888) 446-9898

Fax

(803) 276-5521

NPI assigned

Apr 12, 2006

Last updated

Dec 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Frances S Puckett

Title

President/Financial Director

Phone

(864) 223-3070

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1992769525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49009",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296490001",
            "telephone_number": "864-223-3070",
            "fax_number": "864-223-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082911",
            "telephone_number": "888-446-9898",
            "fax_number": "803-276-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "864-223-3070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "SC",
            "license": "5559",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "5559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG8639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA REGISTRATION#",
            "identifier": "42D0248801",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1437",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newberry Internal Medicine LLC
• Newberry Medical Associates
• Newberry OB GYN, P.a.
• Newberry Oncology Associates
• Newberry Operator LLC (J.F. Hawkins)
• Newberry Physical Therapy and Sports Medicine Clinic Inc
• Newberry Surgical Associates PA
• Newberry Surgical LLC
• NHC Healthcare/Newberry, LLC
• Jeremy Nichols, MS

• Anatomic Pathology & Clinical Pathology Physician in Newberry, SC
• Providers in Newberry, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.