Individual provider Active NPI

Stephen Adrian Quarterman, PA

  • Physician Assistant
  • Anderson, SC
National Provider Identifier
1427100254
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
944 Issued in SC
Practice address
2503 North Main Street
Anderson Skin & Cancer Clinic PA
Anderson, SC 29621-3278
Phone
(864) 224-7577
Fax
(864) 225-5165
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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 944 SC Primary

Addresses

Primary practice location

2503 North Main Street
Anderson Skin & Cancer Clinic PA
Anderson, SC 29621-3278

Mailing address

639 Stephenson Ave
Ste a
Savannah, GA 31405-5970
Phone (864) 224-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20040603000453 SC Practitioner - Physician Assistant 9931181906
I20220713004182 GA Practitioner - Physician Assistant 9931181906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Skin and Cancer CenterGroup PAC ID 6901893387, 5 clinicians

Practice addresses (Care Compare)

21 Tidewater Way
Savannah, GA 31411-2101
Phone (912) 604-9519

639 A Stephenson Ave
Savannah, GA 31405-5970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
944SCMDHearing Instrument Specialist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1427100254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 STEPHENSON AVE",
            "address_2": "STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055970",
            "telephone_number": "864-224-7577",
            "fax_number": "864-225-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 NORTH MAIN STREET",
            "address_2": "ANDERSON SKIN & CANCER CLINIC PA",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213278",
            "telephone_number": "864-224-7577",
            "fax_number": "864-225-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTERMAN",
        "first_name": "STEPHEN",
        "middle_name": "ADRIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.