Individual provider Active NPI

Travis A Stuckey, PA-C

  • Medical Physician Assistant
  • Sylva, NC
National Provider Identifier
1639150238
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2013 Issued in SC
Practice address
81 Medical Park Loop
Suite 202
Sylva, NC 28779-5291
Phone
(828) 586-7705
Fax
(828) 586-7714
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 P103179 NC
Medical Physician Assistant 363AM0700X 2013 SC Primary

Addresses

Primary practice location

81 Medical Park Loop
Suite 202
Sylva, NC 28779-5291

Mailing address

PO Box 149
Sylva, NC 28779-0149
Phone (828) 586-7705

Other practice location 1

3799 12th Street Ext Ste 110
Cayce, SC 29033-3750
Phone (803) 755-3337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstuckey26304@direct.lexmed.com

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
I20140827000560 SC Practitioner - Physician Assistant 7517134885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660

154 Saluda Pointe Dr
Lexington, SC 29072-7295
Phone (803) 785-3590

7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 407-4100

7037 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 732-0963

7043 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 791-2683

7045 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 936-7590

811 W Main St
Lexington, SC 29072-2500

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P103179NCMDPhysician Assistant
2013SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655

7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924

3016 Longtown Commons Dr
Ste 100
Columbia, SC 29229
Phone (803) 314-0500

4080 Augusta Hwy
Gilbert, SC 29054
Phone (803) 892-1800

1846 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 314-9640

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400

811 W Main St
Lexington, SC 29072

811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

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

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

3799 12th Street Ext
Ste 110
West Columbia, SC 29033
Phone (803) 755-3337

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1639150238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790149",
            "telephone_number": "828-586-7705",
            "fax_number": "828-586-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL PARK LOOP",
            "address_2": "SUITE 202",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795291",
            "telephone_number": "828-586-7705",
            "fax_number": "828-586-7714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3799 12th Street Ext Ste 110",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333750",
            "country_code": "US",
            "telephone_number": "803-755-3337",
            "fax_number": "803-955-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "P103179",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstuckey26304@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7035 Saint Andrews Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.