Melissa Whitson Kucsera, P.A.-C
Individual provider Active NPI Family Medicine Physician · Charleston, SC
NPI 1457776114 · NPPES record last updated Aug 11, 2014
Key facts
- NPI
- 1457776114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MPA.2067 PA (SC)
- Practice address
- 1481 Tobias Gadson Blvd # 1
Charleston, SC 29407-4794 - Phone
- (843) 402-0367
- NPI assigned
- Mar 4, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230802000700 | GA | Practitioner - Physician Assistant | 1153782578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPA.2067 PA | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current |
Accepting new patients | |
| American Current Care P.a. | Current |
Accepting new patients | |
| American Current Care PA | Current | Accepting new patients |
Locations
688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MPA.2067 PA | SC | Yes |
Addresses
Primary practice location
1481 Tobias Gadson Blvd # 1
Charleston, SC 29407-4794
Mailing address
1481 Tobias Gadson Blvd # 1
Charleston, SC 29407-4794
Phone (843) 402-0367
Other names
- Miss Melissa Whitson
Other providers in Charleston, SC
- Danielle Krukowski
- Kelly Bailey Kruse
- Diann M. Krywko
- Marc A Krzystek
- Balemba Kubuanu
- Carrie Slye Kuendel
- Melissa Hutson Kuester
- Lauren Scott Kuhlkin
- Katina B Kuhlmann
- Allison Kuhn
All providers in Charleston, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.