DR. LINDA L FUQUA MD
NPI 1336107879
Pediatrics in Greenwood, SC

Q: What is Linda Fuqua's NPI number?

The NPI number for Linda Fuqua is 1336107879. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Linda Fuqua's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Linda Fuqua was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 03, 2006PECOS Enrolled

210 WELLS AVE, GREENWOOD, SC 29646(864) 943-4279 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2024, Dec 27, 2021 (2 updates tracked since 2021).

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About Dr. Linda L Fuqua Md NPPES

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

DR. LINDA L FUQUA MD (NPI 1336107879) is an individual pediatrics provider in Greenwood, South Carolina, licensed in South Carolina (21319) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336107879

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LINDA L FUQUACredential: MD

Location Address210 WELLS AVEGreenwood, SC 29646-3843

Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424

Phone(864) 943-4279

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1336107879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 21319

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

210 WELLS AVE, Greenwood, SC 29646

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Linda L Fuqua Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Linda Fuqua reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Self Medical Group

Same address

Pediatrics

210 WELLS AVE
Greenwood, SC 29646

Reassigned Medicare billing, South Carolina enrollment
560 clinicians in this Medicare group

NPI 1720475221 (864) 943-4279

Self Regional Healthcare

Same address

Pediatrics

210 WELLS AVE
Greenwood, SC 29646

Reassigned Medicare billing, South Carolina enrollment
231 clinicians in this Medicare group

NPI 1225838832 (864) 943-4279

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 8

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

SELF REGIONAL HEALTHCARE

Pediatrics