Individual provider Active NPI

Alexis Pinnell, PA

  • Medical Physician Assistant
  • Hilton Head, SC
National Provider Identifier
1578110474
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3317 Issued in SC
Practice address
800 Main St Ste 120
Hilton Head, SC 29926-1657
Phone
(843) 342-3202
NPI assigned
Aug 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3317 SC
Medical Physician Assistant 363AM0700X 3317 SC Primary

Addresses

Primary practice location

800 Main St Ste 120
Hilton Head, SC 29926-1657

Mailing address

800 Main St Ste 120
Hilton Head, SC 29926-1657
Phone (585) 315-3503

Other names 1

  • Alexis Cook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211201000840 NY Practitioner - Physician Assistant 3476943713 Reassigns benefits to 1 organization
I20231214001147 MA Practitioner - Physician Assistant 3476943713 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3317SCMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Onecare Clinic, LLC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1578110474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 120",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261657",
            "telephone_number": "585-315-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 120",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261657",
            "telephone_number": "843-342-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNELL",
        "first_name": "ALEXIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3317",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.