Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Cody Robertson

Individual provider Family Medicine Physician · NPI 1225560675

Cody Robertson is registered under Family Practice in Newberry, South Carolina. Graduated from University of Mississippi School of Medicine in 2017, 9 years ago. Practices with Self Regional Healthcare, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Trained at
University of Mississippi School of Medicine
Licensed in
SC
In the registry since
2017
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Practice location Address checks out

2605 Kinard St
Newberry, SC 29108-2967
Phone: (803) 405-1900
Fax: (803) 405-1919
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1409 W Georgia Rd Ste B, Simpsonville, SC 29680-6420 — (864) 454-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 84922 (SC)

Record details

NPI number1225560675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Self Regional Healthcare — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients32
Services billed 98 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $799 51 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Self Regional Healthcare

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 156 clinicians in the practice; 12 are shown here.

Other providers in Newberry