Active NPI
Elizabeth Spencer Maxwell, PA-C
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5985
- Practice address
- 2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894 - Phone
- (843) 723-8823
- Fax
- (843) 606-8059
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 5985 | SC | Primary |
| Physician Assistant | 363A00000X | 4604 | OK |
Addresses
Primary practice location
2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other names 1
- Elizabeth Renouard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2145 Henry Tecklenburg Dr
Suite 220
Charleston, SC 29414-5894
Phone (843) 723-8823
Hospital & facility affiliations
- Roper St Francis Hospital-Berkeley Inc
- Bon Secours-St Francis Xavier Hospital
- Roper Hospital
- Mount Pleasant Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4604 | OK | MD | Physician Assistant |
| 5985 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper St. Francis Specialty Physicians | Single Specialty | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Single Specialty | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Single Specialty | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Single Specialty | Past | Accepting new patients |
Locations
2145 Henry Tecklenburg Dr
Ste 220
Charleston, SC 29414
Phone (843) 958-2555
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
300 Callen Blvd
Ste 200
Summerville, SC 29486
Phone (843) 724-8823
Interoperability endpoints
- emaxwell3044327@direct.bsmhealth.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
Single Specialty
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Neurological Surgery Physician
- Charleston, SC
- NPI 1912148685
Single Specialty
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1679144265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 HENRY TECKLENBURG DR STE 220",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145894",
"telephone_number": "843-723-8823",
"fax_number": "843-606-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "ELIZABETH",
"middle_name": "SPENCER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5985",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "OK",
"license": "4604",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "RENOUARD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.