MARY LYN BARNETTE
NPI 1104491703
Physician Assistant in Greenville, SC

Active since May 25, 2021PECOS Enrolled
207 THREE BRIDGES RD, GREENVILLE, SC 29611(864) 220-1110(864) 220-1104 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2023, Mar 4, 2022, May 25, 2021 (3 updates tracked since 2021).

About Mary Lyn Barnette NPPES

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

MARY LYN BARNETTE (NPI 1104491703) is an individual physician assistant in Greenville, South Carolina, licensed in South Carolina (4264) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1104491703
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY LYN BARNETTE
Location Address207 THREE BRIDGES RDGreenville, SC 29611-7549
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Fax(864) 220-1104
Sole ProprietorYes
Enumeration DateMay 25, 2021
Last NPPES UpdateSeptember 28, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
NPI 1104491703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 4264
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

207 THREE BRIDGES RD, Greenville, SC 29611

Secondary Practice Location 1

Location 1269 Harper RdYork, SC 29745-8301 · Phone (803) 627-6221

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Lyn Barnette is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Pediatrics
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Clinic/Center (Rural Health)
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Clinic/Center (Multi-Specialty)
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Pediatrics
207 THREE BRIDGES RD
GREENVILLE, SC 29611

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 Mary Barnette's NPI number?

The NPI number for Mary Barnette is 1104491703. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Mary Barnette located?

Mary Barnette practices at 207 Three Bridges Rd, Greenville, SC 29611. The listed phone number is (864) 220-1110.

What is Mary Barnette's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Barnette enrolled in Medicare?

Yes. Mary Barnette is registered in the Medicare PECOS enrollment system.

What insurance does Mary Barnette accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Mary Barnette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Barnette was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.