Individual provider Active NPI

Christopher James Egan, PA-C

  • Physician Assistant
  • Okatie, SC
National Provider Identifier
1114235504
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1576 Issued in SC
Practice address
40 Okatie Ctr Blvd Ste 350
Okatie, SC 29909-7511
Phone
(843) 706-2255
Fax
(843) 706-2257
NPI assigned
Sep 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 1576 SC Primary

Addresses

Primary practice location

40 Okatie Ctr Blvd Ste 350
Okatie, SC 29909-7511

Mailing address

201 Sigma Dr
Ste 100
Summerville, SC 29486-7715
Phone (803) 943-3813

Other practice location 1

2 Marshland Rd
Hilton Head Island, SC 29926-2305
Phone (843) 342-7607

Other practice location 2

300 Maple St W
Hampton, SC 29924-3238
Phone (803) 943-3813

Other identifiers 2

IdentifierTypeStateIssuer
1062PAMedicaidSC
P00891752OtherSCRR MEDICARE

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
I20110124001002 SC Practitioner - Physician Assistant 6800075755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hilton Head Regional Physician Group LLCGroup PAC ID 9234573676, 114 clinicians

Practice addresses (Care Compare)

75 Baylor Dr
Bluffton, SC 29910-8965

8 Hospital Ctr Blvd
Hilton Head, SC 29926-8701

Hospital & facility affiliations

  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
79.72 of 100Reported as group
Quality
63.11
Promoting interoperability
100
Improvement activities
40
Cost
69.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1576SCMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Regional Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Hilton Head Heart PA Past Accepting new patients

Locations

11 Robert Smalls Pkwy
Ste D
Beaufort, SC 29906
Phone (843) 706-2255

75 Baylor Dr
Ste 205
Bluffton, SC 29910
Phone (843) 706-2255

25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

Interoperability endpoints

  • Direct secure messaging: christopher.egan.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 3

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1114235504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIGMA DR",
            "address_2": "STE 100",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867715",
            "telephone_number": "803-943-3813",
            "fax_number": "803-943-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CTR BLVD STE 350",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-706-2255",
            "fax_number": "843-706-2257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Marshland Rd",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262305",
            "country_code": "US",
            "telephone_number": "843-342-7607",
            "fax_number": "843-342-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Maple St W",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299243238",
            "country_code": "US",
            "telephone_number": "803-943-3813",
            "fax_number": "843-943-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00891752",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.