Individual provider Active NPI

Ashley Curtis Sundberg, PA-C

  • Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1003266941
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3441 Issued in SC
Practice address
2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204
Phone
(843) 388-9000
Fax
(843) 388-6937
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 3441 SC Primary

Addresses

Primary practice location

2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204

Mailing address

2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204
Phone (843) 388-9000

Other practice location 1

1241 Woodland Ave
Mount Pleasant, SC 29464-3288
Phone (843) 990-4414

Other names 1

  • Ashley Nicole Curtis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161201002095 VA Practitioner - Physician Assistant 7618257999 Reassigns benefits to 3 organizations
I20200306001701 SC Practitioner - Physician Assistant 7618257999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Island Medical CareGroup PAC ID 0941540819, 8 clinicians

Practice addresses (Care Compare)

1241 Woodland Ave
Mount Pleasant, SC 29464-3288
Phone (843) 990-4414

2114 Hwy 41
Suite 105
Mt Pleasant, SC 29466-6204
Phone (843) 388-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3441SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2017 Accepting new patients

Locations

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFGCD/Endpoint/IDFGCD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1003266941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 HIGHWAY 41 STE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666204",
            "telephone_number": "843-388-9000",
            "fax_number": "843-388-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 HIGHWAY 41 STE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666204",
            "telephone_number": "843-388-9000",
            "fax_number": "843-388-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643288",
            "country_code": "US",
            "telephone_number": "843-990-4414",
            "fax_number": "843-990-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "ASHLEY",
        "middle_name": "CURTIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CURTIS",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.