Individual provider Active NPI

Ryan Faysal Chaya, PA-C

  • Physician Assistant
  • Goose Creek, SC
National Provider Identifier
1467057828
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3814 Issued in SC
Practice address
7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7297
Phone
(843) 553-4383
Fax
(843) 553-4384
NPI assigned
Dec 3, 2020
Last updated
May 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 3814 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7297

Mailing address

7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7297
Phone (843) 553-4383

Other practice location 1

126 Hainsworth Dr
North Charleston, SC 29418-2736
Phone (843) 743-8287

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
I20211213002257 SC Practitioner - Physician Assistant 6800286402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians

Practice addresses (Care Compare)

2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 15, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 15, 2021 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

Organizations & group practices 5

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 2

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1467057828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR STE 211B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457297",
            "telephone_number": "843-553-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR STE 211B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457297",
            "telephone_number": "843-553-4383",
            "fax_number": "843-553-4384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Hainsworth Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294182736",
            "country_code": "US",
            "telephone_number": "843-743-8287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAYA",
        "first_name": "RYAN",
        "middle_name": "FAYSAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3814",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.