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

Joshua Formaneck

Individual provider Physician Assistant · NPI 1609523125

Joshua Formaneck is a Physician Assistant in Newberry, South Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Urgent Cares LLC, a 184-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2022

Practice location Address checks out

1410 Wilson Rd
Newberry, SC 29108-3050
Phone: (803) 276-2186
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA4217 (SC)

Record details

NPI number1609523125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2022
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing addressPo Box 749306, Atlanta, GA 30374-9306

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Urgent Cares Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newberry