Tonya M Farless, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1072 Issued in SC

Practice address

4115 Dorchester Rd Ste 100
Charleston, SC 29405-7501

Phone

(843) 554-6737

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1982124301

  SC

  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1003827304

  SC

  Medicare reassignment
• Nasoncare, LLC

  • Primary Care Clinic/Center
  • North Charleston, SC
  • NPI 1346705522

  SC

  Medicare reassignment
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1073234928

  SC

  Medicare reassignment
• Premier Medical of SC LLC

  • Family Medicine Physician
  • North Charleston, SC
  • NPI 1992276091

  SC

  Medicare reassignment
• Fetter Health Care Network Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, SC
  • NPI 1386792976
  NPD
• Fetter Health Care Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1174378707
  NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Daniel Island, SC
  • NPI 1144269929
  NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Goose Creek, SC
  • NPI 1154605707
  NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1285673269
  NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1366123739
  NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1497075733
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1376582858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HENDERSON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012619",
            "telephone_number": "803-758-2600",
            "fax_number": "803-726-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 DORCHESTER RD STE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057501",
            "telephone_number": "843-554-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLESS",
        "first_name": "TONYA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1069402",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA1344A634",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Marie Fantino, DC
• Yostena Ayman Farag, DO
• Alyssa A Farber, CRNA
• Dorothy Farfone, RPH
• Guilherme Faria Moura
• Bianca S Farley, MD
• Heather Lynn Farley, MD
• Madison Farley, MD
• Sara Lane Farley, P.A.
• Virginia Farley, MD

• All providers in Charleston, SC
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.