Individual provider Active NPI

Grace Carlisle Huggins, MSPAS, PA-C

  • Physician Assistant
  • Simpsonville, SC
National Provider Identifier
1447810197
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006693 Issued in VA
Practice address
211 Batesville Rd
Simpsonville, SC 29681-4816
Phone
(864) 272-0388
NPI assigned
Jun 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 C0007205 MD
Physician Assistant 363A00000X 0110006693 VA Primary

Addresses

Primary practice location

211 Batesville Rd
Simpsonville, SC 29681-4816

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other names 1

  • Grace Carlisle Blackley Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230426000367 SC Practitioner - Physician Assistant 5294066288 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4678SCMDDentist
C0007205MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Apr 13, 2023 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

525 Verdae Blvd
#100
Greenville, SC 29607
Phone (864) 516-2800

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

30 Halter Dr
Powdersville, SC 29673

211 Batesville Rd
Simpsonville, SC 29681

2 Hatcher Creek St
Simpsonville, SC 29680

559 Harrison Bridge Rd
Simpsonville, SC 29680

Interoperability endpoints

  • Direct secure messaging: grace.huggins@tribe513.eclinicaldirectplus.com

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": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1447810197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BATESVILLE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814816",
            "telephone_number": "864-272-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGINS",
        "first_name": "GRACE",
        "middle_name": "CARLISLE",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-15",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007205",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "BLACKLEY",
            "middle_name": "CARLISLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.