Individual provider Active NPI

Gillian Marie Hyde, PA-C

  • Physician Assistant
  • Little River, SC
National Provider Identifier
1467119610
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5928 Issued in SC
Practice address
3793 McDowell Lane
Ste 100, Medical Park 2
Little River, SC 29566-7892
Phone
(843) 777-5091
NPI assigned
Nov 23, 2021
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 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 5928 SC Primary

Addresses

Primary practice location

3793 McDowell Lane
Ste 100, Medical Park 2
Little River, SC 29566-7892

Mailing address

PO Box 601473
Charlotte, NC 28260-1743

Other identifiers 1

IdentifierTypeStateIssuer
120399MedicaidAZ

Other names 1

  • Gillian Marie Hogue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, SC2 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
I20220106000044 AZ Practitioner - Physician Assistant 3173914975 Reassigns benefits to 1 organization
I20260311002420 SC Practitioner - Physician Assistant 3173914975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

10494 W Thunderbird Blvd
Sun City, AZ 85351-6122
Phone (866) 974-2673

3793 McDowell LN
Suite 100
Little River, SC 29566-7892
Phone (843) 390-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5928SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Educatoin CurrentSince Dec 30, 2021 Accepting new patients
McLeod Physician Associates II Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 1, 2026 Accepting new patients
Center for Orthopedic Research and Education, LLC Physician Assistant Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (623) 241-8706

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

9321 W Thomas Rd
Ste 205
Phoenix, AZ 85037

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

3793 McDowell Ln
Ste 100
Little River, SC 29566
Phone (843) 390-0100

Interoperability endpoints

  • Direct secure messaging: gillian.hogue.1@22724.direct.athenahealth.com

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1467119610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601473",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 MCDOWELL LANE",
            "address_2": "STE 100, MEDICAL PARK 2",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667892",
            "telephone_number": "843-777-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "GILLIAN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120399",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GILLIAN",
            "last_name": "HOGUE",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.