Individual provider Active NPI

Paul Michael Linnert, P.A.

  • Physician Assistant
  • Varnville, SC
National Provider Identifier
1518340884
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2306 Issued in SC
Practice address
595 W Carolina Ave
Varnville, SC 29944-4735
Phone
(803) 943-7600
Fax
(803) 943-7601
NPI assigned
Jul 6, 2015
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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 2306 SC Primary

Addresses

Primary practice location

595 W Carolina Ave
Varnville, SC 29944-4735

Mailing address

595 W Carolina Ave
Varnville, SC 29944-4735
Phone (803) 943-7600

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
I20151110000913 SC Practitioner - Physician Assistant 1850601576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gavin OrthopaedicsGroup PAC ID 7810959780, 3 clinicians
Charles J. Nivens MD PAGroup PAC ID 0345338679, 2 clinicians

Practice addresses (Care Compare)

15 Moss Creek Village
Hilton Head, SC 29926-1105

19 Moss Creek Village
Suite D
Hilton Head, SC 29926-1105

19 Moss Creek VLG
Suite D
Hilton Head, SC 29926-1127
Phone (843) 681-5077

3 Plantation Park Dr
Bluffton, SC 29910-6035
Phone 843705747122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2306SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Upcountry Primary Care Current Accepting new patients
Gavin Orthopaedics CurrentSince Jun 1, 2023 Accepting new patients
Lowcountry Spine & Sport, LLC Past Accepting new patients

Locations

15 Moss Creek Vlg
Hilton Head Island, SC 29926
Phone (843) 681-5077

19 Moss Creek Vlg
Ste D
Hilton Head Island, SC 29926
Phone (843) 681-5077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJBGAD/Endpoint/IJBGAD

Organizations & group practices 6

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.

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1518340884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444735",
            "telephone_number": "803-943-7600",
            "fax_number": "803-943-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444735",
            "telephone_number": "803-943-7600",
            "fax_number": "803-943-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNERT",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Varnville, SC

Sources for this page

Verify at the official NPI Registry.