NPIMap

Individual provider Active NPI

Tara M Johnson Hughes, P.A.

  • Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1255367322
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
812 Issued in SC
Practice address
851 Leonard Fulghum Dr Ste 100
Mount Pleasant, SC 29464-3793
Phone
(843) 849-1300
NPI assigned
Jun 23, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 812 SC Primary
Medical Physician Assistant 363AM0700X 812 SC
Family Medicine Physician 207Q00000X A812 SC

Addresses

Primary practice location

851 Leonard Fulghum Dr Ste 100
Mount Pleasant, SC 29464-3793

Mailing address

PO Box 13955
Charleston, SC 29422-3955
Phone (843) 572-8201

Other practice location 1

2891 Tricom St Ste C
North Charleston, SC 29406-7110
Phone (843) 637-4173

Other identifiers 1

IdentifierTypeStateIssuer
2282PAMedicaidSC

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
I20060210000215 SC Practitioner - Physician Assistant 9335154426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

851 Leonard Fulghum Dr
Mt Pleasant, SC 29464-3793

880 Island Park Dr
Daniel Island, SC 29492-2902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
80.11
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
812SCMDMental Health Counselor
A812SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC CurrentSince Sep 25, 2024 Accepting new patients
East Cooper Physician Group LLC CurrentSince Sep 25, 2024 Accepting new patients
East Cooper Physician Group LLC Past Accepting new patients

Locations

3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262

851 Leonard Fulghum Dr
Ste 100
Mt Pleasant, SC 29464
Phone (843) 849-1300

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

Interoperability endpoints

  • Direct secure messaging: tara.hughes.1@30548.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1255367322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-572-8201",
            "fax_number": "843-797-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM DR STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643793",
            "telephone_number": "843-849-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2891 Tricom St Ste C",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294067110",
            "country_code": "US",
            "telephone_number": "843-637-4173",
            "fax_number": "843-654-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON HUGHES",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "812",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "812",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "A812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2282PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.