Individual provider Active NPI

Matthew Robert Carter, PA-C

  • Physician Assistant
  • Boiling Springs, SC
National Provider Identifier
1073226338
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4746 Issued in SC
Practice address
431 Bellport Dr
Boiling Springs, SC 29316-5389
Phone
(864) 216-9598
NPI assigned
Jan 3, 2023
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 4746 SC Primary

Addresses

Primary practice location

431 Bellport Dr
Boiling Springs, SC 29316-5389

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 516-1783

Other practice location 1

1220 Parkside Acorn Dr
Inman, SC 29349-8344
Phone (864) 516-1783

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
I20230626000324 SC Practitioner - Physician Assistant 7012375983 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
Musc Affiliate PhysiciansGroup PAC ID 6305241027, 48 clinicians

Practice addresses (Care Compare)

1220 Parkside Acorn Dr
Inman, SC 29349-8344

145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4746SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Jun 1, 2023 Accepting new patients
University Medical Associates PastSince May 1, 2024 Accepting new patients

Locations

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

Interoperability endpoints

  • Direct secure messaging: matthew.carter@tribe513.eclinicaldirectplus.com

Organizations & group practices 2

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 4

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1073226338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-516-1783",
            "fax_number": "864-516-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BELLPORT DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165389",
            "telephone_number": "864-216-9598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Parkside Acorn Dr",
            "address_purpose": "LOCATION",
            "city": "Inman",
            "state": "SC",
            "postal_code": "293498344",
            "country_code": "US",
            "telephone_number": "864-516-1783",
            "fax_number": "864-516-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.