Individual provider Active NPI

Gerardo A Santiago Jr.

  • Physician Assistant
  • West Columbia, SC
National Provider Identifier
1609485333
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
110 Medical Cir
West Columbia, SC 29169-3642
Phone
(803) 509-7316
NPI assigned
Jul 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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 Primary

Addresses

Primary practice location

110 Medical Cir
West Columbia, SC 29169-3642

Mailing address

409 Spring St
Lexington, SC 29072-4006

Other practice location 1

146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800
Phone (803) 936-3300

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
I20201030000558 SC Practitioner - Physician Assistant 0244640324 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medcare Express - North Charleston LLCGroup PAC ID 7618074899, 69 clinicians
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians

Practice addresses (Care Compare)

10136 Two Notch Rd
Suite 104
Columbia, SC 29229-4399
Phone (803) 509-7570

110 Medical Cir
West Columbia, SC 29169-3642
Phone (803) 509-7316

301 E Wood St
Spartanburg, SC 29303-3020
Phone (864) 208-1960

7418 Garners Ferry Rd
Columbia, SC 29209-2601
Phone (803) 509-6310

8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Express - North Charleston LLC CurrentSince Aug 1, 2020 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2023 Accepting new patients
Lexington Health Inc CurrentSince Jun 15, 2022 Accepting new patients
Charleston Carenow Urgent Care, LLC CurrentSince May 16, 2026 Accepting new patients
Lexington Health Inc CurrentSince Jun 15, 2022 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2023 Accepting new patients

Locations

801 N Fant St
Anderson, SC 29621
Phone (864) 261-8000

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

10136 Two Notch Rd
Columbia, SC 29229
Phone (803) 509-7570

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

8720 Dorchester Rd
#1201
North Charleston, SC 29420

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209

1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169

146 E Hospital Dr
Ste 400
West Columbia, SC 29169
Phone (803) 936-3300

110 Medical Cir
Ste A
West Columbia, SC 29169

110 Medical Cir
West Columbia, SC 29169
Phone (803) 434-6113

Interoperability endpoints

  • Direct secure messaging: gerardo.santiago@931025906565122.direct.elationemr.com

Organizations & group practices 10

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1609485333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SPRING ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290724006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CIR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693642",
            "telephone_number": "803-509-7316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 E Hospital Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694800",
            "country_code": "US",
            "telephone_number": "803-936-3300",
            "fax_number": "803-936-7735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "GERARDO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.