Mary Hunter Stoddard, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4051 Issued in SC

Practice address

1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447

Phone

(843) 476-4702

Fax

(843) 479-4290

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

University of South Carolina School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Medical Associates of the Medical University of South CarolGroup PAC ID 6305758574, 1,634 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Colleton Medical Center Hospital, Walterboro, SC, CCN 420030
• Hampton Regional Medical Center Hospital, Varnville, SC, CCN 420072

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• University Medical Associates of the Medical University of South Carol

  • Multi-Specialty Clinic/Center
  • Charleston, SC
  • NPI 1043241110
  Medicare reassignment Care Compare group
• Southern Coast Spine and Pain Specialists LLC

  • Pain Medicine (Anesthesiology) Physician
  • Beaufort, SC
  • NPI 1508518069
  Medicare reassignment
• University Medical Associates of the Medical University of South Carol

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1982678496

  Physician Assistant

  NPD

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

• Hampton Regional Medical Center

  • Rural Acute Care Hospital
  • Varnville, SC
  • NPI 1487651949
  Care Compare affiliation
• Walterboro Community Hospital, Inc.

  • General Acute Care Hospital
  • Walterboro, SC
  • NPI 1376597997
  Care Compare affiliation

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1659950491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4702",
            "fax_number": "843-479-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4702",
            "fax_number": "843-479-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "MARY",
        "middle_name": "HUNTER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4051",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4748PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Preston Stewart, D.O.
• Deborah Sticco
• Travis Stickney, LCSW
• Anna Grace Stoddard, PA-C
• Leland Crumpton Stoddard Jr., M.D.
• Austin Stokes, DDS
• Heather Zeigler Stone, MA, LCMHC, ATR-BC
• Gregory Lee Stoyer, DMD
• Lynn B Strange, M.S., LPCI
• Jonathan Desmond Strickland, PHARMD

• Physician Assistant in Beaufort, SC
• Providers in Beaufort, 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 Mar 15, 2023; 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.

Verify at the official NPI Registry.