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

Mr. Tommy Scott Whitehead, PA

Individual provider Physician Assistant · NPI 1780770545

Mr. Tommy Scott Whitehead, PA is a Physician Assistant in Greenwood, South Carolina. Qualified in 2001, 25 years ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
25
Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

516 Montague Ave
Greenwood, SC 29649-1942
Phone: (864) 223-1468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 — (864) 229-2663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 728 (SC)

Record details

NPI number1780770545
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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