Individual provider Active NPI

Lisa M Castles, P.A.

  • Physician Assistant
  • Lake City, SC
National Provider Identifier
1588760201
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
432 Issued in SC
Practice address
325 Mercy St
Lake City, SC 29560-2331
Phone
(843) 394-5471
Fax
(843) 394-5459
NPI assigned
Sep 16, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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 432 SC Primary

Addresses

Primary practice location

325 Mercy St
Lake City, SC 29560-2331

Mailing address

325 Mercy St
Lake City, SC 29560-2331
Phone (843) 394-5471

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
I20130809000430 SC Practitioner - Physician Assistant 2860634417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
432SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Oct 1, 2022 Accepting new patients
Lower Florence County Hospital CurrentSince May 26, 2013 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 1, 2022 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

258 N Ron McNair Blvd
Lake City, SC 29560
Phone (843) 374-2036

325 Mercy St
Lake City, SC 29560
Phone (843) 374-2036

1030 US 52 Hwy
Scranton, SC 29591
Phone (843) 519-2399

Interoperability endpoints

  • Direct secure messaging: lcastles93849@directmcleodehealth.org

Organizations & group practices 5

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 6

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1588760201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MERCY ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602331",
            "telephone_number": "843-394-5471",
            "fax_number": "843-394-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MERCY ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602331",
            "telephone_number": "843-394-5471",
            "fax_number": "843-394-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLES",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

Verify at the official NPI Registry.