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TATUM NEWBILL
NPI 1215565833
Dentist in Clover, SC

Active since March 30, 2020PECOS Enrolled
244 LATITUDE LN STE 103, CLOVER, SC 29710(803) 831-2171 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Apr 2, 2020 (2 updates tracked since 2020).

About Tatum Newbill NPPES

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

TATUM NEWBILL (NPI 1215565833) is an individual dentist in Clover, South Carolina, licensed in South Carolina (11257) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215565833
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTATUM NEWBILL
Location Address244 LATITUDE LN STE 103Clover, SC 29710-8125
Mailing Address18228 Mckee RdCharlotte, NC 28278-0154 · (540) 420-7595
Phone(803) 831-2171
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1215565833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in SC · 11257✔ Licensed in VA · 59121168✔ Licensed in NC · 12014
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
244 LATITUDE LN STE 103, Clover, SC 29710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Tatum Newbill 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 29710 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 3

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

MODLIN & LONDRY XVI DDS LLC
Dentist (General Practice)
244 LATITUDE LN STE 103
LAKE WYLIE, SC 29710
York County (803) 831-2171
DR. ARIEL N. KUNDE DMD
Dentist (General Practice)
244 LATITUDE LN STE 103
LAKE WYLIE, SC 29710
York County (803) 831-2171
CAROLINA FAMILY DENTISTRY AT LAKE WYLIE
Clinic/Center (Dental)
244 LATITUDE LN STE 103
LAKE WYLIE, SC 29710
York County (803) 831-2171

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 Tatum Newbill's NPI number?

The NPI number for Tatum Newbill is 1215565833. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Tatum Newbill located?

Tatum Newbill practices at 244 Latitude Ln Ste 103, Clover, SC 29710. The listed phone number is (803) 831-2171.

What is Tatum Newbill's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tatum Newbill enrolled in Medicare?

Yes. Tatum Newbill is registered in the Medicare PECOS enrollment system.

What insurance does Tatum Newbill accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Tatum Newbill 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 Tatum Newbill was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.