Active NPI
Justin Suarez, PA
- Physician Assistant
- Greenwood, SC
National Provider Identifier
1255210399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6005
- Practice address
- 106 Gregor Mendel Cir
Greenwood, SC 29646-2315 - Phone
- (810) 094-1864
- NPI assigned
- Sep 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6005 | SC | Primary |
Addresses
Primary practice location
106 Gregor Mendel Cir
Greenwood, SC 29646-2315
Mailing address
500 Congaree Rd Apt 7107
Greenville, SC 29607-4767
Phone (954) 881-8679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6005 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1255210399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CONGAREE RD APT 7107",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074767",
"telephone_number": "954-881-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 GREGOR MENDEL CIR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462315",
"telephone_number": "810-094-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "JUSTIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "6005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.