Individual provider Active NPI

Haley Jeanne McEvoy, PA-C

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Mount Pleasant, SC
National Provider Identifier
1073215372
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
4616 Issued in SC
Practice address
1123 Queensborough Blvd Ste 102
Mount Pleasant, SC 29464-3682
Phone
(843) 380-8002
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 4616 SC Primary

Addresses

Primary practice location

1123 Queensborough Blvd Ste 102
Mount Pleasant, SC 29464-3682

Mailing address

404 Carriage LN
Mount Pleasant, SC 29464-3003
Phone (978) 729-7304

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
I20230417000311 SC Practitioner - Physician Assistant 8628443033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

1123 Queensborough Blvd
Suite 102
Mt Pleasant, SC 29464-3682
Phone (843) 380-8002

2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 881-0100

7 S Alliance Dr
Suite 111B
Goose Creek, SC 29445-7296
Phone (843) 971-9350

851 Leonard Fulghum Dr
Mt Pleasant, SC 29464-3793

881 Leonard Fulghum Dr
Mount Pleasant, SC 29464-5474

Hospital & facility affiliations

  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
80.11
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4616SCMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC Past Accepting new patients

Locations

7 S Alliance Dr
Ste 111B
Goose Creek, SC 29445
Phone (843) 971-9350

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262

1123 Queensborough Blvd
Ste 102
Mt Pleasant, SC 29464
Phone (843) 352-7049

Interoperability endpoints

  • Direct secure messaging: haley.mcevoy.1@30548.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1073215372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CARRIAGE LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643003",
            "telephone_number": "978-729-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 QUEENSBOROUGH BLVD STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643682",
            "telephone_number": "843-380-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "HALEY",
        "middle_name": "JEANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "SC",
            "license": "4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.