Individual provider Active NPI

Blaire Brooks Howell, PA-C

  • Physician Assistant
  • Mt Pleasant, SC
National Provider Identifier
1497300099
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3489 Issued in SC
Practice address
1625 Hospital Dr
Mt Pleasant, SC 29464-3698
Phone
(843) 849-1551
Fax
(843) 884-0629
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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
Physician Assistant 363A00000X 3489 SC Primary

Addresses

Primary practice location

1625 Hospital Dr
Mt Pleasant, SC 29464-3698

Mailing address

PO Box 749340
Atlanta, GA 30374-9340

Other names 1

  • Blaire Brooks Former name

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
I20210503002414 SC Practitioner - Physician Assistant 6901215987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Southeastern Spine Institute LLCGroup PAC ID 0244750578, 31 clinicians

Practice addresses (Care Compare)

1625 Hospital Dr
Mt Pleasant, SC 29464-3698

1625 Hospital Dr
Suite 200
Mt Pleasant, SC 29464-3892
Phone (843) 849-1551

Hospital & facility affiliations

  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Merit-based Incentive Payment System (MIPS)

Final score
70.32 of 100Reported as group
Quality
43.59
Promoting interoperability
86
Improvement activities
40
Cost
69.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3489SCMDOccupational Therapist

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.

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1497300099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 HOSPITAL DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643698",
            "telephone_number": "843-849-1551",
            "fax_number": "843-884-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "BLAIRE",
        "middle_name": "BROOKS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIRE",
            "last_name": "BROOKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.