NPIMap

Individual provider Active NPI

Annsley Marie Troxell, PA-C

  • Physician Assistant
  • Port Royal, SC
National Provider Identifier
1053716050
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2215 Issued in SC
Practice address
Beaufort Memorial Surgical Specialists
1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone
(843) 524-2307
Fax
(844) 296-2307
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2215 SC Primary

Addresses

Primary practice location

Beaufort Memorial Surgical Specialists
1680 Ribaut Rd
Port Royal, SC 29935-2008

Mailing address

955 Ribaut Rd
Bmac Credentialing Coordinator
Port Royal, SC 29902-5441
Phone (843) 524-8171

Other identifiers 1

IdentifierTypeStateIssuer
2522PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000019 SC Practitioner - Physician Assistant 3779881248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1251 Ribaut Rd
Beaufort, SC 29902-6185
Phone (843) 985-2870

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

595 W Carolina Ave
Varnville, SC 29944-4735
Phone (803) 395-3837

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2215SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jul 18, 2023 Accepting new patients
Anderson Family Care, PA CurrentSince Jan 1, 2005 Accepting new patients
Musc Community Physicians CurrentSince Jul 18, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Imaging Partners PLLC Past Accepting new patients

Locations

605 E Greenville St
Anderson, SC 29621
Phone (864) 231-7004

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1251 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-3015

Interoperability endpoints

  • Direct secure messaging: atroxell29467@direct.musc.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1053716050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING COORDINATOR",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-524-8171",
            "fax_number": "844-296-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL SURGICAL SPECIALISTS",
            "address_2": "1680 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352008",
            "telephone_number": "843-524-2307",
            "fax_number": "844-296-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROXELL",
        "first_name": "ANNSLEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.