Individual provider Active NPI

Hampton Leroy Snead, PA C

  • Medical Physician Assistant
  • Seneca, SC
National Provider Identifier
1265541882
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
A755 Issued in SC
Practice address
109 Carter Park Dr
Suite 3a
Seneca, SC 29678-1152
Phone
(864) 885-0058
Fax
(864) 885-0098
NPI assigned
Aug 29, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X A755 SC Primary

Addresses

Primary practice location

109 Carter Park Dr
Suite 3a
Seneca, SC 29678-1152

Mailing address

109 Carter Park Dr
Suite3A
Seneca, SC 29678-1152
Phone (864) 885-0058

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
I20090424000249 SC Practitioner - Physician Assistant 3173670676 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
755SCMDClinical Psychologist
A755SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Urgent Care Center Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1265541882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR",
            "address_2": "SUITE3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058",
            "fax_number": "864-885-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR",
            "address_2": "SUITE 3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058",
            "fax_number": "864-885-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEAD",
        "first_name": "HAMPTON",
        "middle_name": "LEROY",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "A755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.