Active NPI
Emily C Lever, PA-C
- Physician Assistant
- North Charleston, SC
National Provider Identifier
1124610936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531 - Phone
- (843) 797-1941
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531
Mailing address
1005 Pettiford PL
Hanahan, SC 29410-4836
Phone (502) 439-1045
Other practice location 1
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3333
Other practice location 2
215 Eighty Oak Ave
Mount Pleasant, SC 29464-7908
Phone (502) 439-1045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4391 | SC | MD | Pharmacist |
Interoperability endpoints
- ecieslak20352@gwmfa.direct-ci.com
- emily.cieslak.1@19612.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1124610936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 PETTIFORD PL",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294104836",
"telephone_number": "502-439-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4975 LACROSS RD STE 110",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066531",
"telephone_number": "843-797-1941"
}
],
"practiceLocations": [
{
"address_1": "2150 Pennsylvania Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200373201",
"country_code": "US",
"telephone_number": "202-741-3333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 Eighty Oak Ave",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294647908",
"country_code": "US",
"telephone_number": "502-439-1045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVER",
"first_name": "EMILY",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.