Active NPI
Carey Connor McNamara, P.A.
- Medical Physician Assistant
- Goose Creek, SC
National Provider Identifier
1689639627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- A643FP
- Practice address
- 100 Spring Hall Dr
Goose Creek, SC 29445-5335 - Phone
- (843) 572-8201
- Fax
- (843) 797-8491
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | A643FP | SC | Primary |
Addresses
Primary practice location
100 Spring Hall Dr
Goose Creek, SC 29445-5335
Mailing address
PO Box 13955
Charleston, SC 29422-3955
Phone (843) 572-8201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2500PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A643FP | SC | MD | Medical Physician Assistant |
Interoperability endpoints
- carey.mcnamara.1@20655.direct.athenahealth.com
- carey.mcnamara.1@30695.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689639627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13955",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294223955",
"telephone_number": "843-572-8201",
"fax_number": "843-797-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SPRING HALL DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294455335",
"telephone_number": "843-572-8201",
"fax_number": "843-797-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "CAREY",
"middle_name": "CONNOR",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "A643FP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2500PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.