Individual provider Active NPI

Chad Alexander Thomas, PA-C

  • Physician Assistant
  • Summerville, SC
National Provider Identifier
1528030863
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
829 Issued in SC
Practice address
5500 Front St # 260
Summerville, SC 29486-7735
Phone
(843) 376-0670
Fax
(843) 376-0669
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 829 SC Primary

Addresses

Primary practice location

5500 Front St # 260
Summerville, SC 29486-7735

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 376-0670

Other practice location 1

7 S Alliance Dr
Ste 202-A
Goose Creek, SC 29445-7269
Phone (843) 376-0670

Other identifiers 1

IdentifierTypeStateIssuer
1047PAMedicaidSC

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
I20040205000305 SC Practitioner - Physician Assistant 3375436140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PPCP Specialty Physicians , LLCGroup PAC ID 2466723028, 20 clinicians

Practice addresses (Care Compare)

5500 Front St
Suite 260
Summerville, SC 29486-7735
Phone (843) 376-0670

7 S Alliance Dr
Suite 202a
Goose Creek, SC 29445-7269
Phone (843) 376-0670

730 Stony Landing Rd
Suite 200
Moncks Corner, SC 29461-2904
Phone (843) 695-6071

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PPCP Specialty Physicians , LLC CurrentSince May 14, 2018 Accepting new patients
PPCP Specialty Physicians , LLC CurrentSince May 14, 2018 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Mar 1, 2017 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Mar 1, 2017 Accepting new patients
Palmetto Internal Medicine of Summerville PC Current Accepting new patients
PPCP Specialty Physicians , LLC Past Accepting new patients
PPCP Specialty Physicians, LLC Past Accepting new patients
Coastal Gastroenterology & Hepatology LLC Past Accepting new patients

Locations

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

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

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

730 Stony Landing Rd
Ste 200
Moncks Corner, SC 29461
Phone (843) 285-2500

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 695-8464

5500 Front St
Ste 260
Summerville, SC 29486

Interoperability endpoints

  • Direct secure messaging: chad.thomas@ppcp1.eclinicaldirectplus.com

Organizations & group practices 9

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 1

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1528030863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-376-0670",
            "fax_number": "843-376-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FRONT ST # 260",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867735",
            "telephone_number": "843-376-0670",
            "fax_number": "843-376-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 S Alliance Dr",
            "address_2": "Ste 202-A",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294457269",
            "country_code": "US",
            "telephone_number": "843-376-0670",
            "fax_number": "843-376-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHAD",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.