Michael Edward Spillane, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4274 Issued in SC

Practice address

440 Society Hill Dr Ste 100a
Aiken, SC 29803-1755

Phone

(032) 260-1028

Fax

(803) 226-0384

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Southcoast Spine and Pain LLC

  • Pain Medicine (Anesthesiology) Physician
  • Aiken, SC
  • NPI 1891442869
  Medicare reassignment
• Augusta Ways Holdings LLC

  • Physical Medicine & Rehabilitation Physician
  • Augusta, GA
  • NPI 1780322982
  Medicare reassignment
• Rome Ways Holdings LLC

  • Physical Medicine & Rehabilitation Physician
  • Rome, GA
  • NPI 1265170377
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1114979689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SOCIETY HILL DR STE 100A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298031755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SOCIETY HILL DR STE 100A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298031755",
            "telephone_number": "032-260-1028",
            "fax_number": "803-226-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLANE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004235",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellery Sterling Spalding
• Specs Vision Center of Aiken Inc
• Specs Vision Center of Aiken, Inc
• Speechworks of Aiken, LLC
• Jessica Spencer, ED.S.
• Margaret Spilman
• Spine Doctors of Aiken LLC
• Edward Page Spivey, RPH
• Arnold R Spokane, PH.D.
• Karen Lee Spokane, MS, OTR/L

• Physician Assistant in Aiken, SC
• Providers in Aiken, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.