Individual provider Active NPI

Heather M Vincent, PA-C

  • Physician Assistant
  • Little River, SC
National Provider Identifier
1043317365
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2605 Issued in SC
Practice address
4237 River Hills Dr Ste 150
Little River, SC 29566-6446
Phone
(843) 281-2778
Fax
(843) 281-2785
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 882 WV
Physician Assistant 363A00000X 2605 SC Primary

Addresses

Primary practice location

4237 River Hills Dr Ste 150
Little River, SC 29566-6446

Mailing address

4237 River Hills Dr Ste 150
Little River, SC 29566-6446
Phone (843) 281-2778

Other identifiers 1

IdentifierTypeStateIssuer
3810004178MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HEATHER.VINCENT@hca5.eclinicaldirectplus.com

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
I20170221002071 SC Practitioner - Physician Assistant 9739114646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterway Primary Care,LLCGroup PAC ID 4789807231, 2 clinicians

Practice addresses (Care Compare)

4237 River Hills Dr
Suite 150
Little River, SC 29566-6446
Phone (843) 281-2778

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.43 of 100Reported as individual
Quality
97.85
Improvement activities
40
Cost
84.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
882WVMDRegistered Dietitian
2605SCMDPhysical Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: heather.vincent@mvahealth.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043317365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS DR STE 150",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666446",
            "telephone_number": "843-281-2778",
            "fax_number": "843-281-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS DR STE 150",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666446",
            "telephone_number": "843-281-2778",
            "fax_number": "843-281-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-01-27",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "882",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004178",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HEATHER.VINCENT@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4237 River Hills Dr Ste 150",
            "city": "Little River",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295666446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.