Individual provider Active NPI

Michael A Winter, PA-C

  • Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1376822627
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3222 Issued in SC
Practice address
929 Bowman Rd
Ste 400
Mount Pleasant, SC 29464-3237
Phone
(843) 730-4124
Fax
(843) 806-4295
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200517 LA
Physician Assistant 363A00000X PA3222 SC Primary

Addresses

Primary practice location

929 Bowman Rd
Ste 400
Mount Pleasant, SC 29464-3237

Mailing address

929 Bowman Rd
Ste 400
Mount Pleasant, SC 29464-3237
Phone (843) 730-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110824000234 AL Practitioner - Physician Assistant 4688844988
I20190723001392 SC Practitioner - Physician Assistant 4688844988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Consulting LLCGroup PAC ID 0345786513, 3 clinicians

Practice addresses (Care Compare)

3842 Leeds Ave
Unit C
North Charleston, SC 29405-7460
Phone (843) 747-6634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.200517LAMDPhysician Assistant
PA3222SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting LLC Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients

Locations

3842 Leeds Ave
Unit C
North Charleston, SC 29405
Phone (843) 747-6634

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1376822627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD",
            "address_2": "STE 400",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-730-4124",
            "fax_number": "843-806-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD",
            "address_2": "STE 400",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-730-4124",
            "fax_number": "843-806-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200517",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.