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.

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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

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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