Individual provider Active NPI

Charmian Webb Bixler, MSPAS, PA-C

  • Physician Assistant
  • Sullivans Island, SC
National Provider Identifier
1124483722
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2491 Issued in SC
Practice address
306 Station 22 1/2 St
Sullivans Island, SC 29482-9756
Phone
(843) 883-3176
Fax
(843) 883-3459
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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 2491 SC Primary

Addresses

Primary practice location

306 Station 22 1/2 St
Sullivans Island, SC 29482-9756

Mailing address

306 Station 22 1/2 St
Sullivans Island, SC 29482-9756
Phone (843) 883-3176

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
I20160226000635 SC Practitioner - Physician Assistant 6406151521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
O'Neill Plastic Surgery, PAGroup PAC ID 3678624244, 4 clinicians

Practice addresses (Care Compare)

245 Seven Farms Dr
Daniel Island, SC 29492-8502
Phone (843) 881-2130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Dermatology and Dermatopathology PastSince Aug 9, 2020 Accepting new patients
East Cooper Physician Network, LLC PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1124483722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 STATION 22 1/2 ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829756",
            "telephone_number": "843-883-3176",
            "fax_number": "843-883-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STATION 22 1/2 ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829756",
            "telephone_number": "843-883-3176",
            "fax_number": "843-883-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXLER",
        "first_name": "CHARMIAN",
        "middle_name": "WEBB",
        "name_prefix": "Mrs.",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivans Island, SC

Sources for this page

Verify at the official NPI Registry.