Active NPI
Alexandra Lyle Rateliff, PA-C
- Physician Assistant
- Surfside Beach, SC
National Provider Identifier
1003302936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1600 Highway 17 N
Surfside Beach, SC 29575-6015 - Phone
- (843) 238-1461
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | SC | Primary |
Addresses
Primary practice location
1600 Highway 17 N
Surfside Beach, SC 29575-6015
Mailing address
4607 Pine Lake Dr
Myrtle Beach, SC 29577-2640
Phone (843) 995-3090
Other practice location 1
2761 Agnes Ln
Myrtle Beach, SC 29577-2029
Phone (843) 492-2710
Other practice location 2
1021 Cipriana Dr Ste 220
Myrtle Beach, SC 29572-4621
Phone (843) 449-6449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3822 Mayfair St
Myrtle Beach, SC 29577-0912
Phone (843) 449-6449
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
- Tidelands Georgetown Memorial Hospital
- Tidelands Waccamaw Community Hospital
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 53.34
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007 | SC | MD | Occupational Therapy Assistant |
Organizations & group practices 1
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Myrtle Beach, SC
- NPI 1497717086
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1003302936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 PINE LAKE DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295772640",
"telephone_number": "843-995-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HIGHWAY 17 N",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756015",
"telephone_number": "843-238-1461"
}
],
"practiceLocations": [
{
"address_1": "2761 Agnes Ln",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295772029",
"country_code": "US",
"telephone_number": "843-492-2710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 Cipriana Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295724621",
"country_code": "US",
"telephone_number": "843-449-6449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATELIFF",
"first_name": "ALEXANDRA",
"middle_name": "LYLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.