Active NPI
David Corley Blease, PA-C
- Surgical Physician Assistant
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- A875
- Practice address
- 9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155 - Phone
- (843) 553-5616
- Fax
- (843) 764-2917
- NPI assigned
- Jul 19, 2006
- Last updated
- Feb 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | A875 | SC | |
| Surgical Physician Assistant | 363AS0400X | A875 | SC | Primary |
Addresses
Primary practice location
9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155
Mailing address
9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155
Phone (843) 553-5616
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DAVID.BLEASE@hca5.eclinicaldirectplus.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Medical Park Dr
Walterboro, SC 29488-5719
Phone (843) 549-1421
9313 Medical Plaza Dr
Charleston, SC 29406-9197
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4946
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.42 of 100
- Quality
- 78.15
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A875 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Multispecialty Assocs, LLC | Past | Accepting new patients |
Interoperability endpoints
- david.blease@hca5.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
dba Coastal Carolina Surgical Specialists
- Specialist
- Summerville, SC
- NPI 1518079102
-
- Specialist
- North Charleston, SC
- NPI 1184730749
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
dba HCA Healthcare Colleton Hospital
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1225057086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9313 MEDICAL PLAZA DR",
"address_2": "SUITE 304",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069155",
"telephone_number": "843-553-5616",
"fax_number": "843-764-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9313 MEDICAL PLAZA DR",
"address_2": "SUITE 304",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069155",
"telephone_number": "843-553-5616",
"fax_number": "843-764-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEASE",
"first_name": "DAVID",
"middle_name": "CORLEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "A875",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "A875",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DAVID.BLEASE@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "9313 Medical Plaza Dr",
"address_2": "SUITE 304",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294069155",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 1, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.