NPIMap

Individual provider Active NPI

Rachel Henderson Burt, PA-C

  • Physician Assistant
  • N Charleston, SC
National Provider Identifier
1417685389
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4957 Issued in SC
Practice address
2910 Tricom St
N Charleston, SC 29406-9350
Phone
(843) 572-9211
NPI assigned
Aug 9, 2022
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 4957 SC Primary

Addresses

Primary practice location

2910 Tricom St
N Charleston, SC 29406-9350

Mailing address

PO Box 632509
Cincinnati, OH 45263-2509
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
5980PAMedicaidSC

Other names 1

  • Rachel Elizabeth Henderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20221209000128 NC Practitioner - Physician Assistant 6709255953 Reassigns benefits to 1 organization
I20231101003313 SC Practitioner - Physician Assistant 6709255953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710
Phone (843) 577-6957

2910 Tricom St
N Charleston, SC 29406-9350
Phone (843) 572-9211

300 Callen Blvd
Suite 210
Summerville, SC 29486-2816
Phone (854) 529-3255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4957SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Sep 26, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Sep 26, 2022 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. CurrentSince Oct 2, 2023 Accepting new patients

Locations

1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884

2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957

2910 Tricom St
North Charleston, SC 29406
Phone (843) 572-9211

Interoperability endpoints

  • Direct secure messaging: rhenderson2432525@direct.bsmhealth.org

Organizations & group practices 6

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 4

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1417685389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632509",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632509",
            "telephone_number": "888-472-0043",
            "fax_number": "513-653-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 TRICOM ST",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069350",
            "telephone_number": "843-572-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "RACHEL",
        "middle_name": "HENDERSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5980PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HENDERSON",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.