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ANDERSON ENT, PA
NPI 1447200936
Otolaryngology in Anderson, SC

Active since May 12, 2006
1206 CORNELIA RD, ANDERSON, SC 29621(864) 226-2822(864) 226-2882 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anderson Ent, Pa NPPES

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

ANDERSON ENT, PA (NPI 1447200936) is a healthcare organization registered as an otolaryngology in Anderson, South Carolina and active in the NPI registry since May 2006. The organization lists Dole P Baker, Md, as its authorized official.

NPPES Registry Identity

NPI1447200936
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameANDERSON ENT, PA
Location Address1206 CORNELIA RDAnderson, SC 29621-3349
Mailing AddressPo Box 139Anderson, SC 29622-0139 · (864) 226-2822 · Fax (864) 226-2882
Phone(864) 226-2822
Fax(864) 226-2882
Organization SubpartNo
Authorized OfficialDole P BakerMd · (864) 226-2822
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 24, 2011
✔ NPI 1447200936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1206 CORNELIA RD, Anderson, SC 29621
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Other Identifiers 2

MedicaidGP3157SC
Medicare ID-Type Unspecified7018

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)

Anderson Ent, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Anderson Ent, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dole Baker, MD
Otolaryngology
NPI 1396797833
1206 CORNELIA RD
Anderson, SC 29621
(864) 226-2822
✔ PECOS✔ Accepts MedicareSame address
Kacie Tyner, FNP-C
Nurse Practitioner
NPI 1528781127
701 GROVE RD
Greenville, SC 29605
(864) 455-5648
✔ PECOS✔ Accepts Medicare24 mi

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

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 Anderson Ent, PA's NPI number?

The NPI number for Anderson Ent, PA is 1447200936. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Anderson Ent, PA located?

Anderson Ent, PA is located at 1206 Cornelia Rd, Anderson, SC 29621. The listed phone number is (864) 226-2822.

What is Anderson Ent, PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Anderson Ent, PA enrolled in Medicare?

Yes. Anderson Ent, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anderson Ent, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Anderson Ent, PA, in Nurse Practitioner and Otolaryngology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anderson Ent, PA was last updated on June 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.