Active NPI
Allyson Harrell Garrison, PA
- Medical Physician Assistant
- Mount Pleasant, SC
National Provider Identifier
1073854956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1862
- Practice address
- 912 Old Georgetown Rd
Mt Pleasant, SC 29464 - Phone
- (843) 216-3530
- Fax
- (877) 896-6449
- NPI assigned
- Mar 2, 2013
- Last updated
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 1862 | SC | |
| Medical Physician Assistant | 363AM0700X | 0010-03938 | NC | |
| Medical Physician Assistant | 363AM0700X | 1862 | SC | Primary |
Addresses
Primary practice location
912 Old Georgetown Rd
Mt Pleasant, SC 29464
Mailing address
912 Old Georgetown Rd
Mt Pleasant, SC 29464
Phone (843) 216-3530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3667PA | 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
- University of South Alabama College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
912 Old Georgetown Rd
Mount Pleasant, SC 29464-4175
Phone (843) 216-3530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1862 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrolina Dermatology and Skin Surgery Specialists, PLLC | Past | Accepting new patients |
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.
-
- Specialist
- Mount Pleasant, SC
- NPI 1104975663
-
- Dermatology Physician
- Charlotte, NC
- NPI 1619400033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1073854956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 OLD GEORGETOWN RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-216-3530",
"fax_number": "877-896-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 OLD GEORGETOWN RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-216-3530",
"fax_number": "877-896-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "ALLYSON",
"middle_name": "HARRELL",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-02",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1862",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-03938",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "1862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3667PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
- Jeffrey Jerome Gardner, D.M.D., P.A.
- Roberta Zeigler Gardner, DMD, MS
- Emily Beatty Gargis, MS, RDN, LD
- Jessica Marie Garnett, PT, DPT
- Michael Charles Garovich, MD
- Gabriela Samantha Garshelis, APRN, APMH-NP
- Justin Michael Garzone, D.O.
- Jessica Lauren Gaskins, PHARMD
- Juliette Gassert, AU.D.
- Gastrointestinal Surgical Specialists, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.