Individual provider Active NPI

Julia Tyler Vasko, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1467297408
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone
(843) 793-6093
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936

Mailing address

1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093

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
I20250103000668 SC Practitioner - Physician Assistant 8921535915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1115 Savannah Hwy
Charleston, SC 29407-7805
Phone (843) 300-3355

1675 N Main St
Summerville, SC 29486-7847
Phone (843) 285-2169

1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093

2863 N Hwy 17
Mt Pleasant, SC 29466-8962
Phone (843) 606-3911

8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629

8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5542SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Express - North Charleston LLC CurrentSince Nov 5, 2024 Accepting new patients
Charleston Carenow Urgent Care, LLC PastSince May 16, 2026 Accepting new patients

Locations

1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

1850 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 576-5246

10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

8720 Dorchester Rd
Ste 1201
North Charleston, SC 29420
Phone (843) 552-3629

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209

301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246

1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169

110 Medical Cir
Ste A
West Columbia, SC 29169

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1467297408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074936",
            "telephone_number": "843-793-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074936",
            "telephone_number": "843-793-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASKO",
        "first_name": "JULIA",
        "middle_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.