Nicholas J. Trudo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2093 Henry Tecklenburg Dr Ste 300E
Charleston, SC 29414-5743

Phone

(843) 724-2011

Fax

(843) 606-7991

NPI assigned

Jul 16, 2018

Last updated

Nov 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.trudo@ppcp1.eclinicaldirectplus.com

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.

• PPCP Specialty Physicians , LLC

  • Gastroenterology Physician
  • Goose Creek, SC
  • NPI 1780123984
  Medicare reassignment NPD (past)
• Novant Health Urgent Cares LLC

  dba Novant Health Urgent Care

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1841026382
  NPD
• PPCP Specialty Physicians , LLC

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1093585044
  NPD
• PPCP Specialty Physicians , LLC

  • Gastroenterology Physician
  • Irmo, SC
  • NPI 1922612423
  NPD
• PPCP Specialty Physicians , LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Summerville, SC
  • NPI 1841739968
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1467938290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632709",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632709",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR STE 300E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145743",
            "telephone_number": "843-724-2011",
            "fax_number": "843-606-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDO",
        "first_name": "NICHOLAS",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Trottier, SLP
• Alice Holler Trouche, DMD
• Clacia Troy
• Brooklin Renae Trudell, PA-C
• Edward William Trudo Jr., M.D.
• Marla Truell
• James Scott Truelove, LCSWR
• Hannah Lillian Truesdell
• Abigail Truitt, MD
• Truliant Health Systems LLC

• Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.