NPIMap

Individual provider Active NPI

Linda M Laforce, PA-C

  • Surgical Physician Assistant
  • Bluffton, SC
National Provider Identifier
1356330492
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
004524 Issued in GA
Practice address
100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910
Phone
(843) 836-7101
Fax
(843) 836-7112
NPI assigned
Oct 20, 2005
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 004524 GA Primary

Addresses

Primary practice location

100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910

Mailing address

45 Hospital Center CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 689-2895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050725000217 GA Practitioner - Physician Assistant 5597792218
I20150310001460 SC Practitioner - Physician Assistant 5597792218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Buckwalter Place Blvd
Suite 130
Bluffton, SC 29910-5154
Phone (843) 836-7100

45 Hospital Ctr CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 689-2895

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2264SCMDOptometrist
054682GAMDNeurological Surgery Physician
004524GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Cancer Specialist, P.a. CurrentSince Aug 22, 2022 Accepting new patients

Locations

100 Buckwalter Place Blvd
Ste 130
Bluffton, SC 29910
Phone (843) 836-7100

45 Hospital Center Cmns
Hilton Head Island, SC 29926
Phone (843) 689-2895

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1356330492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL CENTER CMNS",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2895",
            "fax_number": "843-715-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUCKWALTER PLACE BLVD STE 130",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "843-836-7101",
            "fax_number": "843-836-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFORCE",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "004524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.