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NEWBERRY OB GYN, P.A.
NPI 1043358666
Obstetrics & Gynecology in Newberry, SC

Active since February 03, 2007CLIA 42D0931476 · Microscopy
2520 EVANS ST, NEWBERRY, SC 29108(803) 276-4422(803) 276-1592 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Newberry Ob Gyn, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWBERRY OB GYN, P.A. (NPI 1043358666) is a healthcare organization registered as an obstetrics & gynecology in Newberry, South Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through November 16, 2027 and lists Stephen F Dyke, President, as its authorized official.

NPPES Registry Identity

NPI1043358666
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNEWBERRY OB GYN, P.A.
Location Address2520 EVANS STNewberry, SC 29108-2940
Mailing Address2520 Evans StNewberry, SC 29108-2940 · (803) 276-4422 · Fax (803) 276-1592
Phone(803) 276-4422
Fax(803) 276-1592
Organization SubpartNo
Authorized OfficialStephen F DykePresident · (803) 276-4422
Enumeration DateFebruary 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043358666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · 0474
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2520 EVANS ST, Newberry, SC 29108
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Other Identifiers 1

MedicaidGP1786SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newberry Ob Gyn, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Newberry Ob Gyn, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Dyke, D.O.
Obstetrics/Gynecology
NPI 1558328732
2520 EVANS ST
Newberry, SC 29108
(803) 276-4422
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0931476

Newberry Ob/Gyn · Newberry, SC
Active · expires Nov 16, 2027
CLIA Number42D0931476
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorStephen F. Dyke M D
Laboratory Phone(803) 276-4422
Laboratory LocationNewberry Ob/Gyn2520 Evans Street, Newberry, SC 29108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newberry Ob Gyn, P.A.'s NPI number?

The NPI number for Newberry Ob Gyn, P.A. is 1043358666. It was assigned to this organization in the NPPES registry on February 3, 2007.

Where is Newberry Ob Gyn, P.A. located?

Newberry Ob Gyn, P.A. is located at 2520 Evans St, Newberry, SC 29108. The listed phone number is (803) 276-4422.

What is Newberry Ob Gyn, P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Newberry Ob Gyn, P.A. enrolled in Medicare?

Yes. Newberry Ob Gyn, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newberry Ob Gyn, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Newberry Ob Gyn, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Newberry Ob Gyn, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0931476) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newberry Ob Gyn, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.