Newberry Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10491 Issued in SC

Legal business name

NEWBERRY INTERNAL MEDICINE LLC

Practice address

2033 Medical Park Drive
Newberry, SC 29108

Phone

(803) 276-5188

Fax

(803) 276-9317

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John M Thompson, MDNPI 1760490528

Title

MD

Phone

(803) 276-5188

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73395

Practitioners 5

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.

• Alan Johnstone Paysinger, MD

  • Internal Medicine Physician
  • Newberry, SC
  • NPI 1568470326
  Medicare reassignment Care Compare group NPD
• Mark A Davis, MD

  • Internal Medicine Physician
  • Newberry, SC
  • NPI 1457465916
  Medicare reassignment Care Compare group
• Emily Sue Livingston, FNP

  • Family Nurse Practitioner
  • Newberry, SC
  • NPI 1255653994
  Medicare reassignment NPD
• John M Thompson, M.D

  • Internal Medicine Physician
  • Little Mountian, SC
  • NPI 1760490528
  NPD Authorized official
• Thomas F Bradberry, MD

  • Internal Medicine Physician
  • Newberry, SC
  • NPI 1649283748
  Medicare reassignment

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992880330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 MEDICAL PARK DRIVE",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-276-5188",
            "fax_number": "803-276-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MEDICAL PARK DRIVE",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-276-5188",
            "fax_number": "803-276-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "803-276-5188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "7471",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "10491",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17777",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "25874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA4995",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newberry Dental, PC
• Newberry Family Chiropractic, LLC
• Newberry Family Health Center
• Newberry Family Health Center PA (Bernardo Geriatrics & Home Care)
• Newberry Family Health Center PA (Bernardo Geriatrics & Home Care)
• Newberry Medical Associates
• Newberry OB GYN, P.a.
• Newberry Oncology Associates
• Newberry Operator LLC (J.F. Hawkins)
• Newberry Pathology Associates PA

• Internal Medicine Physician in Newberry, SC
• Providers in Newberry, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.