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

Dr. Robert Noyes Etheridge, MD

Individual provider Family Medicine Physician · NPI 1588007603

Dr. Robert Noyes Etheridge, MD is a Family Practice in Pinewood, South Carolina. Qualified in 2013, 13 years ago. Practices with Tandem Health SC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
13
Licensed in
SC
In the registry since
2013
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

25 E Clark St
Pinewood, SC 29125-8989
Phone: (803) 774-4500
Fax: (803) 452-5712
Show map & directions

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

Additional practice locations (1)

  • 1278 N Lafayette Dr, Sumter, SC 29150-2964 — (803) 774-4500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40082 (SC)

Record details

NPI number1588007603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2013
Last updated in NPPESOctober 4, 2018
Mailing address25 E Clark St, Pinewood, SC 29125-8989

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Tandem Health Sc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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