Lily Rigmaiden, PA-C – Physician Assistant

Key facts

NPI: 1649095969
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 5515 (SC)
Practice address: 1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336
Phone: (678) 673-9692
Fax: (470) 300-7913
NPI assigned: Nov 21, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Itrust Cares LLC Psychiatric/Mental Health Nurse Practitioner · Greenville, SC · NPI 1225751068

Medicare reassignment Care Compare group SC
Gomed Charleston LLC Family Medicine Physician · Mount Pleasant, SC · NPI 1790254365

NPD (past)

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Spartanburg Medical Center Psychiatric Hospital Unit · Spartanburg, SC · NPI 1033681630

Care Compare affiliation Hospital
Spartanburg Medical Center Family Medicine Physician · Spartanburg, SC · NPI 1326373697

Care Compare affiliation Hospital
Spartanburg Medical Center General Acute Care Hospital · Spartanburg, SC · NPI 1609807122

Care Compare affiliation Hospital
Spartanburg Medical Center Rehabilitation Hospital Unit · Spartanburg, SC · NPI 1942772546

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Drexel University College of Medicine, 2024
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Itrust Cares LLC (8 clinicians)

Practice addresses (Care Compare)

117 Commons Way
Greenville, SC 29611-3850

127 Commons Way
Greenville, SC 29611-3850
Phone (864) 970-2273

Hospital & facility affiliations

Spartanburg Medical Center Hospital · Spartanburg, SC · CCN 420007

Medicare participation

Medicare fee-for-service enrollment: Enrolled in SC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250220000523	SC	Practitioner - Physician Assistant	9335669472	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
5515	SC	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Gomed Charleston LLC		Past since Dec 11, 2018	Accepting new patients

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	5515	SC	Yes

Addresses

Primary practice location

1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336

Mailing address

PO Box 201
Simpsonville, SC 29681-0201
Phone (303) 704-2719

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 17, 2026.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1649095969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296810201",
            "telephone_number": "303-704-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 BELLE ISLE AVE STE 110J",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648336",
            "telephone_number": "678-673-9692",
            "fax_number": "470-300-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGMAIDEN",
        "first_name": "LILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

All providers in Mount Pleasant, SC · Physician Assistant in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.