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

Daniel David Divilbiss, MD

Individual provider Family Medicine Physician · NPI 1316979982

Daniel David Divilbiss, MD is a Family Practice in Greenwood, South Carolina. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2005, 21 years ago. Practices with Self Regional Healthcare, a 156-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
21
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

155 Academy Ave
Greenwood, SC 29646-3869
Phone: (864) 725-4865
Fax: (864) 725-4883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 27947 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 27947 (SC)

Record details

NPI number1316979982
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2005 (21 years in practice)
Group practice Self Regional Healthcare — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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