Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Robertson

Individual provider Family Medicine Physician · NPI 1225560675

Cody Robertson is a 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
Claim this listing Report a problem Suggest an edit

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

Other providers in Newberry