Individual provider Active NPI

Eileen Marie Rogers, PAC

  • Physician Assistant
  • West Columbia, SC
National Provider Identifier
1679613004
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
781 Issued in SC
Practice address
1053 Center Street
SC House Calls Inc.
West Columbia, SC 29169
Phone
(800) 491-0909
NPI assigned
Feb 7, 2007
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 781 SC Primary

Addresses

Primary practice location

1053 Center Street
SC House Calls Inc.
West Columbia, SC 29169

Mailing address

1053 Center Street
SC House Calls Inc.
West Columbia, SC 29169
Phone (800) 491-0909

Other identifiers 1

IdentifierTypeStateIssuer
0305PAMedicaidSC

Other names 1

  • Eileen Marie Morris Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000176 SC Practitioner - Physician Assistant 0840393369 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
781SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince May 2, 2016 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 2, 2016 Accepting new patients
Anesthesia Services Associates PLLC Physician Assistant PastSince Mar 24, 2014 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients
Anesthesia Services Associates, PLLC Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

213 W 4th North St
Summerville, SC 29483
Phone (843) 873-0681

507 N Laurel St
Summerville, SC 29483
Phone (843) 875-0600

809 N Cedar St
Summerville, SC 29483
Phone (843) 871-9440

Interoperability endpoints

  • Direct secure messaging: eileen.rogers@hca5.eclinicaldirectplus.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1679613004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC.",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC.",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "MORRIS",
            "middle_name": "MARIE",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.