Active NPI
Eugene Ancrum II, PA
- Physician Assistant
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2439
- Practice address
- 8720 Dorchester Rd
North Charleston, SC 29420-7303 - Phone
- (843) 789-1620
- NPI assigned
- Jul 16, 2015
- Last updated
- Apr 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2439 | SC | Primary |
| Medical Physician Assistant | 363AM0700X | 2439 | SC | |
| Medical Physician Assistant | 363AM0700X | NU |
Addresses
Primary practice location
8720 Dorchester Rd
North Charleston, SC 29420-7303
Mailing address
8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 789-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2431PA | Medicaid | SC |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1675 N Main St
Summerville, SC 29486-7847
Phone (843) 285-2169
8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629
8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2439 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Medcare Urgent Care Center - Anderson LLC | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients |
Locations
1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355
1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
8720 Dorchester Rd
Ste 1201
North Charleston, SC 29420
Phone (843) 552-3629
8901 University Blvd
North Charleston, SC 29406
Phone (843) 203-2245
Organizations & group practices 10
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.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
dba Medcare Urgent Care
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
dba Roper St. Francis Healthcare Pediatrics
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1689004095
-
dba Roper St. Francis Physician Partners Pain Management
- Pain Medicine (Anesthesiology) Physician
- Mount Pleasant, SC
- NPI 1649094756
-
dba Roper St. Francis Physician Partners Charleston OB/GYN
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1043694334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8720 DORCHESTER RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207303",
"telephone_number": "843-789-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8720 DORCHESTER RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207303",
"telephone_number": "843-789-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCRUM",
"first_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2439",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "2439",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2431PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
- American Current Care PA (Concentra Urgent Care)
- American Current Care, P.a. (Concentra urgent Care)
- Ethel Jane Amerson, RN, MSN
- Lindsay Michelle Amoriello, RN
- Austin Skyler Amos, MD
- Benjamin Anders, D.D.S., M.D.S.
- Susan Anderson Mullins, LICENSED OPTICIAN
- Grace Rebecca Anderson, RN
- Gregory Paul Anderson, D.C.
- Martha Rosetta Anderson, RN, BNS, CCM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.