Active NPI
Carey Lennon, PA-C
- Surgical Physician Assistant
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4534
- Practice address
- 2880 Tricom St
North Charleston, SC 29406-9171 - Phone
- (843) 797-5050
- Fax
- (843) 797-3633
- NPI assigned
- Jan 11, 2018
- Last updated
- Aug 25, 2022
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4534 | SC | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 0010-07819 | NC |
Addresses
Primary practice location
2880 Tricom St
North Charleston, SC 29406-9171
Mailing address
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
130 E 3Rd N St
Summerville, SC 29483-6810
Phone (843) 797-5050
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
9565 Hwy 78
BLDG 100
Ladson, SC 29456-4118
Phone (843) 797-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-07819 | NC | MD | Orthopaedic Surgery Physician |
| 4534 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcis Healthcare, LLC | Current | Accepting new patients | |
| Cape Fear Orthopaedic Clinic, P.a. | Orthopaedic Surgery | Current | Accepting new patients |
| Arcis Healthcare, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171
2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050
Interoperability endpoints
- carey.lennon.1@7388.direct.athenahealth.com
- carey.lennon.p1@direct.capefearortho.nextgenshare.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- North Charleston, SC
- NPI 1902246077
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1245204494
-
dba Lowcountry Orthopaedics & Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Ladson, SC
- NPI 1881406767
-
- Orthopaedic Surgery Physician
- Raeford, NC
- NPI 1891190088
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health East Cooper Medical Center
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1336657428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "CAREY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-11",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "4534",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "0010-07819",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.