NPIMap

Individual provider Active NPI

Elizabeth Harrison Conyers, PAC

  • Physician Assistant
  • Aiken, SC
National Provider Identifier
1407873086
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3964 Issued in SC
Practice address
2062 Whiskey Rd
Aiken, SC 29803-6183
Phone
(803) 648-2315
NPI assigned
Jul 17, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1654 KY
Physician Assistant 363A00000X 3964 SC Primary
Physician Assistant 363A00000X 002475 IA
Medical Physician Assistant 363AM0700X 10439 GA

Addresses

Primary practice location

2062 Whiskey Rd
Aiken, SC 29803-6183

Mailing address

116 Ilex LN
Aiken, SC 29803-8227
Phone (903) 245-5353

Other identifiers 3

IdentifierTypeStateIssuer
K020390OtherKYMEDICARE
P01352419OtherIARR MEDICARE
4862PAMedicaidSC

Other names 1

  • Elizabeth C Wood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20111109000478 KY Practitioner - Physician Assistant 7214954247 Reassigns benefits to 2 organizations
I20211110001990 SC Practitioner - Physician Assistant 7214954247 Reassigns benefits to 8 organizations
I20231215003376 GA Practitioner - Physician Assistant 7214954247 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

2062 Whiskey Rd
Aiken, SC 29803-6183
Phone (866) 389-2727

302 University Pkwy
Aiken, SC 29801-6302
Phone 8328694818235

655 Medical Park Dr
Aiken, SC 29801-6415
Phone (832) 869-4818

950 Breckenridge LN
Suite 120
Louisville, KY 40207-4687
Phone (832) 869-4818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3964SCMDSpeech-Language Pathologist
10439GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince May 15, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 15, 2024 Accepting new patients
Athens Emergency Medicine Associates PA Medical Past Accepting new patients
Carilion Emergency Services, Inc. Past Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
GS Physician Services Past Accepting new patients
Tyler Cardiovascular Consultants P.a. Medical Past Accepting new patients
Lexington Virginia Emergency Physicians LLP Physician Assistant Past Accepting new patients
Carilion Emergency Services, Inc. PastSince Dec 17, 2023 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

Interoperability endpoints

  • Direct secure messaging: econyers509130@direct.musc.edu

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 9

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1407873086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ILEX LN",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038227",
            "telephone_number": "903-245-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036183",
            "telephone_number": "803-648-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONYERS",
        "first_name": "ELIZABETH",
        "middle_name": "HARRISON",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1654",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3964",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002475",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "10439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K020390",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01352419",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4862PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WOOD",
            "middle_name": "C",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.