Individual provider Active NPI

Rachael Zealy, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1508388968
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2774 Issued in SC
Practice address
2270 Ashley Crossing Dr Ste 135
Charleston, SC 29414
Phone
(843) 556-7942
Fax
(843) 556-1946
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 2774 SC Primary

Addresses

Primary practice location

2270 Ashley Crossing Dr Ste 135
Charleston, SC 29414

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 1

IdentifierTypeStateIssuer
3074PAMedicaidSC

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
I20170912002574 SC Practitioner - Physician Assistant 3971876061 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2774SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Specialists of Charleston CurrentSince May 26, 2020 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 20, 2018 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 10, 2017 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 20, 2018 Accepting new patients
Pain Specialists of Charleston PA CurrentSince May 26, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 10, 2017 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

2270 Ashley Crossing Dr
Ste 135
Charleston, SC 29414
Phone (843) 556-7942

7 S Alliance Dr
Ste 202A
Goose Creek, SC 29445
Phone (843) 376-6070

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

809 N Cedar St
Summerville, SC 29483
Phone (843) 851-9440

Organizations & group practices 8

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1508388968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR STE 135",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-556-7942",
            "fax_number": "843-556-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEALY",
        "first_name": "RACHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.