Active NPI
Asia Tshane McDonald, M.D.
- Family Medicine Physician
- Summerville, SC
National Provider Identifier
1194880203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 84213
- Practice address
- 1595 Central Ave
Summerville, SC 29483-5529 - Phone
- (843) 212-8080
- Fax
- (843) 789-1521
- NPI assigned
- Dec 27, 2006
- Last updated
- Sep 9, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 84213 | SC | Primary |
Addresses
Primary practice location
1595 Central Ave
Summerville, SC 29483-5529
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asia.mcdonald@rsfpp.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 16, 2025 through Jun 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84213 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Roots MD, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Summerville, SC
- NPI 1538910450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1194880203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 CENTRAL AVE",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294835529",
"telephone_number": "843-212-8080",
"fax_number": "843-789-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ASIA",
"middle_name": "TSHANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "84213",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asia.mcdonald@rsfpp.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Document and CCD Exchange",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Care Documents",
"address_1": "1595 Central Ave",
"city": "Summerville",
"state": "SC",
"country_code": "US",
"postal_code": "294835529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.