Individual provider Active NPI

Avery Lauren Steeland

  • Physician Assistant
  • Summerville, SC
National Provider Identifier
1609630219
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6051 Issued in SC
Practice address
300 Callen Blvd Ste 330
Summerville, SC 29486-2816
Phone
(843) 763-2857
Fax
(843) 606-8053
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6051 SC Primary
Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

300 Callen Blvd Ste 330
Summerville, SC 29486-2816

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

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
I20260210002538 SC Practitioner - Physician Assistant 6800375726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Callen Blvd
Suite 210
Summerville, SC 29486-2816
Phone (843) 881-5844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6051SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Feb 23, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 23, 2026 Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients

Locations

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

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

8950 University Blvd
Ste 200
North Charleston, SC 29406
Phone (843) 766-6494

300 Callen Blvd
Ste 210
Summerville, SC 29486
Phone (843) 881-5844

300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550

Organizations & group practices 4

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.

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1609630219",
    "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": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CALLEN BLVD STE 330",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862816",
            "telephone_number": "843-763-2857",
            "fax_number": "843-606-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELAND",
        "first_name": "AVERY",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6051",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.