Individual provider Active NPI

Theresa Nacey, PA

  • Physician Assistant
  • Rock Hill, SC
National Provider Identifier
1013139039
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2986 Issued in SC
Practice address
1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone
(803) 329-2636
Fax
(803) 329-2184
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 0010-06830 NC
Physician Assistant 363A00000X 2986 SC Primary

Addresses

Primary practice location

1436 Riverchase Blvd
Rock Hill, SC 29732-1777

Mailing address

1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636

Other practice location 1

920 Cox Rd Ste 201
Gastonia, NC 28054-3435
Phone (704) 864-8302

Other practice location 2

3158 Freedom Dr Ste 3101
Charlotte, NC 28208-0014
Phone (704) 348-2992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnacey66491@direct.acumenmd.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225000009 SC Practitioner - Physician Assistant 1052404225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PAGroup PAC ID 9537128400, 11 clinicians

Practice addresses (Care Compare)

838 W Meeting St
Suite D
Lancaster, SC 29720-6233
Phone (803) 286-8446

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06830NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Jan 10, 2019 Accepting new patients
Nephrology Associates PA CurrentSince Mar 23, 2026 Accepting new patients
Cardiovascular Associates LTD Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

838 W Meeting St
Ste D
Lancaster, SC 29720
Phone (803) 285-4400

1436 Riverchase Blvd
Rock Hill, SC 29732
Phone (803) 329-2636

Organizations & group practices 4

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1013139039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636",
            "fax_number": "803-329-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636",
            "fax_number": "803-329-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Cox Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280543435",
            "country_code": "US",
            "telephone_number": "704-864-8302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3158 Freedom Dr Ste 3101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282080014",
            "country_code": "US",
            "telephone_number": "704-348-2992",
            "fax_number": "704-334-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACEY",
        "first_name": "THERESA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06830",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnacey66491@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "920 Cox Rd Ste 201",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280543435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.