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

Dr. Mark David Herndon, MD

Individual provider Surgery Physician · NPI 1285751107

Dr. Mark David Herndon, MD is a General Surgery in Clinton, South Carolina. Graduated from Medical College of Georgia School of Medicine in 2005, 21 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
21
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1012 Medical Ridge Rd
Clinton, SC 29325-4542
Phone: (864) 822-3852
Fax: (864) 938-0501
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 32321 (SC)
Surgery Physician Taxonomy 208600000X · Licence 58753 (GA)

Record details

NPI number1285751107
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2007
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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