Brenda Ligon, MPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

A321 Issued in SC

Practice address

2001 Laurel St
Columbia, SC 29204-1018

Phone

(803) 254-3278

Fax

(803) 255-2715

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1003822693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020099",
            "telephone_number": "803-254-3278",
            "fax_number": "803-255-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041018",
            "telephone_number": "803-254-3278",
            "fax_number": "803-255-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGON",
        "first_name": "BRENDA",
        "credential": "MPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "A321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter David Liggett, PH.D.
• Gloria Von Rossum Light, RN, CPNP
• Nancy Carol Lighthill, RPTA
• Lighthouse Professional Staffing, Inc.
• William Lightle
• Dejhiana Ligon, RBT
• Mariah Nicole Ligon
• Penny Ligon
• Wade Edward Ligon, LICENSED OPTICIAN
• Michelle A Liken, PHD, RN, CS, CCM

• Medical Physician Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.