Individual provider Active NPI

Susan M. Roy Cutter, PA-C

  • Medical Physician Assistant
  • Charleston, SC
National Provider Identifier
1598968620
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1796 Issued in SC
Practice address
316 Calhoun St
Roper St. Francis Intensivist Services
Charleston, SC 29401-1113
Phone
(843) 724-2450
Fax
(843) 724-2455
NPI assigned
Jun 6, 2007
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 1796 SC
Medical Physician Assistant 363AM0700X 1796 SC Primary

Addresses

Primary practice location

316 Calhoun St
Roper St. Francis Intensivist Services
Charleston, SC 29401-1113

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 3

IdentifierTypeStateIssuer
1450PAMedicaidSC
1598968620OtherSCNPI
363AS0400XOtherSCTAXONOMY

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
I20120727000179 SC Practitioner - Physician Assistant 3779749221 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

316 Calhoun St
Charleston, SC 29401-1113

3500 Hwy 17 Byp N
Mt Pleasant, SC 29466-9123
Phone (843) 606-7000

3500 Hwy 17 N
Mt Pleasant, SC 29466-9123

416 Robertson Blvd
Suite B
Walterboro, SC 29488-2952
Phone (843) 782-4608

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1796SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. CurrentSince Mar 9, 2016 Accepting new patients
Roper Hospital Inc. CurrentSince Mar 9, 2016 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. CurrentSince Feb 27, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. CurrentSince Feb 27, 2025 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Feb 27, 2025 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Feb 27, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Feb 9, 2025 Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: scutter1252234@direct.bsmhealth.org

Organizations & group practices 12

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1598968620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "address_2": "ROPER ST. FRANCIS INTENSIVIST SERVICES",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2450",
            "fax_number": "843-724-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTER",
        "first_name": "SUSAN",
        "middle_name": "M. ROY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1796",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598968620",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363AS0400X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.