Lauren Cassidy Toliver, PA

Individual provider Active NPI Physician Assistant · Spartanburg, SC

NPI 1205545126 · NPPES record last updated Mar 21, 2024

Key facts

NPI
1205545126
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
303 E Wood St
Spartanburg, SC 29303-3020
Phone
(864) 208-8847
Fax
(864) 208-8142
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical Center (1,060 clinicians)

Practice addresses (Care Compare)

100 E Wood St
Spartanburg, SC 29303-3004
Phone (864) 560-7070

101 E Wood St
Spartanburg, SC 29303-3040

303 E Wood St
Spartanburg, SC 29303-3020
Phone (864) 208-8800

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital · Spartanburg, SC · CCN 420007
  • Cherokee Medical Center Hospital · Gaffney, SC · CCN 420043
  • Union Medical Center Hospital · Union, SC · CCN 420108

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100 (apm)
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100 (group)
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230427000727 SC Practitioner - Physician Assistant 8325403371 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4697SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current
since Aug 1, 2024
Accepting new patients
Spartanburg Medical Center Current
since Aug 1, 2024
Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

100 E Wood St
Spartanburg, SC 29303
Phone (864) 560-7070

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

303 E Wood St
Spartanburg, SC 29303
Phone (864) 208-8800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

303 E Wood St
Spartanburg, SC 29303-3020

Mailing address

30 Market Point Dr Apt 2108
Greenville, SC 29607-6589
Phone (501) 772-9030

Other names

  • Lauren Cassidy Ackley Former name

Other providers in Spartanburg, SC

All providers in Spartanburg, SC · Physician Assistant in South Carolina

Sources for this page

Verify at the official NPI Registry.