Individual provider Active NPI

Marissa Anne Barrett-D'Amico

  • Physician Assistant
  • Hilton Head Island, SC
National Provider Identifier
1366176679
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4559 Issued in SC
Practice address
15 Hospital Center Blvd Ste 1
Hilton Head Island, SC 29926-2760
Phone
(843) 689-9200
NPI assigned
Jul 12, 2022
Last updated
Jan 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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 4559 SC Primary

Addresses

Primary practice location

15 Hospital Center Blvd Ste 1
Hilton Head Island, SC 29926-2760

Mailing address

15 Hospital Center Blvd Ste 1
Hilton Head Island, SC 29926-2760

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
I20221207002278 SC Practitioner - Physician Assistant 2365811718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilton Head Dermatology and Skin Cancer Center PAGroup PAC ID 4981508066, 4 clinicians

Practice addresses (Care Compare)

15 Hospital Ctr Blvd
Suite 1
Hilton Head Island, SC 29926-2760
Phone (843) 689-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4559SCMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: m.lucia@hhd.emadirect.md

Organizations & group practices 1

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1366176679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL CENTER BLVD STE 1",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL CENTER BLVD STE 1",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262760",
            "telephone_number": "843-689-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT-D'AMICO",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.