Active NPI
Darryl K Valentine, PA
- Physician Assistant
- Conway, SC
National Provider Identifier
1477540045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2493
- Practice address
- 235 Singleton Ridge Rd Ste 103
Conway, SC 29526-9136 - Phone
- (843) 347-2121
- Fax
- (843) 347-5565
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2493 | SC | Primary |
Addresses
Primary practice location
235 Singleton Ridge Rd Ste 103
Conway, SC 29526-9136
Mailing address
235 Singleton Ridge Rd Ste 103
Conway, SC 29526-9136
Phone (843) 347-2121
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161128001157 | SC | Practitioner - Physician Assistant | 8224098397 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
235 Singleton Ridge Rd
Suite 103
Conway, SC 29526-9136
Phone (843) 347-2121
Hospital & facility affiliations
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.17 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351 | GA | MD | Psychologist |
| 2493 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Emergency Services of the Southeast Inc | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1992763627
Hospital & facility affiliations 13
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": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1477540045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 SINGLETON RIDGE RD STE 103",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269136",
"telephone_number": "843-347-2121",
"fax_number": "843-347-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 SINGLETON RIDGE RD STE 103",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269136",
"telephone_number": "843-347-2121",
"fax_number": "843-347-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "DARRYL",
"middle_name": "K",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.