Individual provider Active NPI

Stela Susac-Pavic, M.D.

  • Adult Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1528288560
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
35609 Issued in SC
Practice address
1305 Horseshoe BND
Mt Pleasant, SC 29464-7406
Phone
(843) 501-2031
Fax
(843) 884-6146
NPI assigned
May 1, 2007
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01577 NC
Adult Medicine Physician 207QA0505X 35609 SC Primary

Addresses

Primary practice location

1305 Horseshoe BND
Mt Pleasant, SC 29464-7406

Mailing address

1305 Horseshoe BND
Mt Pleasant, SC 29464-7406
Phone (843) 501-2031

Other identifiers 3

IdentifierTypeStateIssuer
01577OtherNCMEDICAL LICENSE
35609OtherSCSOUTH CAROLINA MEDICAL LICENCE
356091MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140119000001 SC Practitioner - Family Practice 7618169178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecalls-MDGroup PAC ID 9830414879, 6 clinicians

Practice addresses (Care Compare)

1305 Horseshoe BND
Mt Pleasant, SC 29464-7406
Phone (843) 501-2031

3100 Tradition Cir
Mt Pleasant, SC 29466-7200
Phone (843) 501-2031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.21 of 100Reported as individual
Quality
58.16
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01577NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services SC LLC CurrentSince Sep 22, 2025 Accepting new patients
Curana Health of South Carolina PC CurrentSince Sep 22, 2025 Accepting new patients
Housecalls-MD Family Medicine CurrentSince Nov 23, 2014 Accepting new patients

Locations

3100 Tradition Cir
Mt Pleasant, SC 29466
Phone (843) 654-7945

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15289/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stela.susac-pavic.1@15289.direct.athenahealth.com

Organizations & group practices 4

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 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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1528288560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HORSESHOE BND",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647406",
            "telephone_number": "843-501-2031",
            "fax_number": "843-884-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HORSESHOE BND",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647406",
            "telephone_number": "843-501-2031",
            "fax_number": "843-884-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSAC-PAVIC",
        "first_name": "STELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "01577",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "35609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01577",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAL LICENCE",
            "identifier": "35609",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356091",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.