Individual provider Active NPI

Elizabeth V Freer, PA-C

  • Physician Assistant
  • North Charleston, SC
National Provider Identifier
1063958775
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2678 Issued in SC
Practice address
7555 Northside Dr
North Charleston, SC 29420-4211
Phone
(843) 797-8162
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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 2678 SC Primary

Addresses

Primary practice location

7555 Northside Dr
North Charleston, SC 29420-4211

Mailing address

9 Smith PL
Charleston, SC 29401-1369
Phone (717) 521-8960

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
I20170509002067 SC Practitioner - Physician Assistant 0840577458 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2678SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Express - North Charleston LLC CurrentSince Dec 11, 2018 Accepting new patients
National Allergy Asthma & Urticaria Centers of Charleston PA CurrentSince Feb 11, 2017 Accepting new patients

Locations

1470 Tobias Gadson Blvd
#20
Charleston, SC 29407
Phone (843) 573-9373

900 Bowman Rd
Ste 201
Mt Pleasant, SC 29464
Phone (843) 797-8162

7555 Northside Dr
North Charleston, SC 29420
Phone (843) 797-8162

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

Organizations & group practices 3

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1063958775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SMITH PL",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011369",
            "telephone_number": "717-521-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 NORTHSIDE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204211",
            "telephone_number": "843-797-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREER",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.