NPIMap

Individual provider Active NPI

Maisie Fisher, PA-C

  • Physician Assistant
  • Union, SC
National Provider Identifier
1285457077
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5564 Issued in SC
Practice address
322 W South St
Union, SC 29379-2839
Phone
(864) 301-2000
NPI assigned
Nov 1, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 5564 SC Primary

Addresses

Primary practice location

322 W South St
Union, SC 29379-2839

Mailing address

782 Riley Rd
Buffalo, SC 29321-2509
Phone (864) 441-4520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfisher265656@direct-srhs.et0939.epichosted.com Direct

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
I20250110002017 SC Practitioner - Physician Assistant 0941738488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Medical CenterGroup PAC ID 2264749308, 14 clinicians

Practice addresses (Care Compare)

1201 Furman L Fendley Hwy
Union, SC 29379-7419

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Union Medical Center Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

1201 Furman L Fendley Hwy
Ste A
Union, SC 29379
Phone (864) 429-8029

322 W South St
Union, SC 29379
Phone (864) 301-2000

Interoperability endpoints

  • Direct secure messaging: mfisher265656@direct-srhs.et0939.epichosted.com

Organizations & group practices 3

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 5

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1285457077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 RILEY RD",
            "city": "BUFFALO",
            "state": "SC",
            "postal_code": "293212509",
            "telephone_number": "864-441-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W SOUTH ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792839",
            "telephone_number": "864-301-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MAISIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfisher265656@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mfisher265656@direct-srhs.et0939.epichosted.com",
            "address_1": "322 W South St",
            "city": "Union",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293792839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.