Active NPI
Travis A Stuckey, PA-C
- Medical Physician Assistant
- Sylva, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2013
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| P103179 | NC | MD | Physician Assistant |
| 2013 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
- Family Medicine Physician
- Columbia, SC
- NPI 1821696949
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.