Individual provider Active NPI

David Corley Blease, PA-C

  • Surgical Physician Assistant
  • North Charleston, SC
National Provider Identifier
1225057086
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
A875 Issued in SC
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000146 SC Practitioner - Physician Assistant 5991725525 Reassigns benefits to 1 organization

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
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
A875SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.