Mary Bates
NPI 1104639210 · Physician Assistant · Newberry, SC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Bates is a Physician Assistant provider in Newberry, SC (NPI 1104639210).
Provider details
- NPI number
- 1104639210
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5993 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 104 Ellett RdChapin, SC 29036-8604Phone: (803) 941-8095
- 1 Wellness Blvd Ste 202Irmo, SC 29063-2873Phone: (803) 470-7040
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Mary Bates's NPI number?
- Mary Bates's National Provider Identifier (NPI) is 1104639210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Bates's specialty?
- Mary Bates is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Bates located?
- Mary Bates's practice location on file with NPPES is 2704 Kinard St, Newberry, SC 29108-2908.
- What is Mary Bates's phone number?
- The practice phone number listed in the NPPES registry for Mary Bates is (803) 321-6254.
- Does Mary Bates accept Medicare?
- Mary Bates is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Bates's NPI active?
- Yes — Mary Bates's NPI (1104639210) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.