Active NPI
Anthony Joseph Vannucci, PA-C
- Surgical Physician Assistant
- New Britain, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4358
- Practice address
- 100 Grand St
New Britain, CT 06052-2016 - Phone
- (860) 224-5011
- NPI assigned
- Aug 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | 4358 | SC | Primary |
Addresses
Primary practice location
100 Grand St
New Britain, CT 06052-2016
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 936-3300
Other practice location 1
146 E Hospital Dr Ste 400
West Columbia, SC 29169
Phone (803) 936-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3955 | Other | CT | CT STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | avannucci157002@direct.lexmed.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300
2709 Laurel St
Columbia, SC 29204-2021
Phone (803) 408-0325
2749 Laurel St
Columbia, SC 29204-2021
Phone (803) 256-5774
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330
805 Pamplico Hwy
Florence, SC 29505-6047
820 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330
Hospital & facility affiliations
- Musc Health Columbia Medical Center Downtown
- Musc Health Lancaster Medical Center
- Musc Health Florence Medical Center
- Kershawhealth
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003955 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320
3016 Longtown Commons Dr
Ste 210
Columbia, SC 29229
Phone (803) 936-3300
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
146 E Hospital Dr
Ste 400
West Columbia, SC 29169
Phone (803) 936-3300
Interoperability endpoints
- anthony.vannucci@xdr.hhchealthdirect.org
- avannucci157002@direct.lexmed.com
- tvannucci476880@direct.musc.edu
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.
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1306443643
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
-
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
-
- Psychiatric Hospital
- Camden, SC
- NPI 1306416680
-
- General Acute Care Hospital
- Camden, SC
- NPI 1487220307
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1306360193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-936-3300",
"fax_number": "803-936-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-224-5011"
}
],
"practiceLocations": [
{
"address_1": "146 E Hospital Dr Ste 400",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "29169",
"country_code": "US",
"telephone_number": "803-936-3300",
"fax_number": "803-936-7735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANNUCCI",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-02",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "4358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT STATE LICENSE",
"identifier": "3955",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "avannucci157002@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 400",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "29169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.