Peighton Violet Bolt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1000 Clyburn Place
Aiken, SC 29801

Phone

(803) 380-7000

NPI assigned

Aug 28, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peighton.bolt.1@13265.direct.athenahealth.com

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.

• Rural Health Services, Inc.

  dba Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1053362111
  Medicare reassignment NPD
• Rural Health Services, Inc.

  dba Women and Children's Center

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1609646611
  Medicare reassignment NPD
• Rural Health Services, Inc

  dba Clyburn Center for Primary Care

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1447530431
  Medicare reassignment
• Rural Health Services, Inc.

  dba Margaret J. Weston Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Beech Island, SC
  • NPI 1790846608
  Medicare reassignment
• Rural Health Services, Inc.

  dba York Street NE

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1528865375
  NPD

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1639903172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-380-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PLACE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-380-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "PEIGHTON",
        "middle_name": "VIOLET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven William Boehm
• James Francis Boehner, MD
• Natalie Bolen
• Brittany Leigh-Ann Bolin, RN
• Haleigh L Bollig
• Paula Knight Bolton, P.T.
• Tannis Jeanette Bolton, PA
• Jettonia Nicole Bonham
• Beverly Bonnet-King
• Bonnie E. Smith, PHD, LLC

• Physician Assistant in Aiken, SC
• Providers in Aiken, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.