NPIMap

Individual provider Active NPI

Stephen Michael Behan, PA-C

  • Physician Assistant
  • Spartanburg, SC
National Provider Identifier
1225751381
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4601 Issued in SC
Practice address
220 College Street
Spartanburg, SC 29303
Phone
(864) 582-2411
NPI assigned
Sep 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4601 SC Primary

Addresses

Primary practice location

220 College Street
Spartanburg, SC 29303

Mailing address

10237 Canton Place LN
Knoxville, TN 37922-8311

Other practice location 1

460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 582-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110003298 SC Practitioner - Physician Assistant 3375913247 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4601SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Oct 31, 2022 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 31, 2022 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 31, 2022 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 31, 2022 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 31, 2022 Accepting new patients

Locations

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

220 Irby St
Woodruff, SC 29388
Phone (864) 476-2731

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenesis Organization Community Health Center 35 clinicians

Practice addresses (Care Compare)

220 College St
Spartanburg, SC 29303-3556
Phone (864) 582-2411

460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 504-3628

750 S Church St
Spartanburg, SC 29306-5348
Phone (864) 582-2411

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1225751381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10237 CANTON PLACE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COLLEGE STREET",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-582-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Langdon St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021614",
            "country_code": "US",
            "telephone_number": "864-582-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHAN",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.