Active NPI
Ashley Nichole McClendon, PA-C
- Physician Assistant
- Lexington, SC
National Provider Identifier
1528427408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2502
- Practice address
- 1847 S Lake Dr
Lexington, SC 29073-7759 - Phone
- (803) 356-8998
- Fax
- (803) 356-8999
- NPI assigned
- Feb 19, 2016
- Last updated
- Oct 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2502 | SC | Primary |
Addresses
Primary practice location
1847 S Lake Dr
Lexington, SC 29073-7759
Mailing address
1847 S Lake Dr
Lexington, SC 29073-7759
Phone (803) 356-8998
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000PA | Medicaid | SC | |
| 423828 | Other | SC | MEDICARE RURAL |
| PC4116 | Medicaid | SC | |
| RHC020 | Medicaid | SC | |
| 428926 | Other | SC | MEDICARE RURAL |
| RHC151 | Medicaid | SC |
Other names 1
- Ashley Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434
979 E 3Rd St
Chattanooga, TN 37403-2136
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Past | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients |
Locations
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
dba PPCP Canterbury House
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
- Family Medicine Physician
- Goose Creek, SC
- NPI 1245271261
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
-
dba Afc Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
-
dba UT Erlanger Health Network
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1528427408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 S LAKE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737759",
"telephone_number": "803-356-8998",
"fax_number": "803-356-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 S LAKE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737759",
"telephone_number": "803-356-8998",
"fax_number": "803-356-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "ASHLEY",
"middle_name": "NICHOLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-19",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000PA",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RURAL",
"identifier": "423828",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC4116",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHC020",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RURAL",
"identifier": "428926",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHC151",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.