NPIMap

Individual provider Active NPI

Robert Matthew Hefner, PA-C

  • Physician Assistant
  • Orangeburg, SC
National Provider Identifier
1699590893
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5707 Issued in SC
Practice address
1175 Cook Rd Ste 215
Orangeburg, SC 29118-8201
Phone
(803) 395-3844
NPI assigned
Nov 21, 2024
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 5707 SC Primary

Addresses

Primary practice location

1175 Cook Rd Ste 215
Orangeburg, SC 29118-8201

Mailing address

PO Box 23321
New York, NY 10087-3321
Phone (843) 876-1344

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331002256 SC Practitioner - Physician Assistant 5991228967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

111 John Lawson Ave
Santee, SC 29142-8654
Phone (803) 395-2070

1175 Cook Rd
Orangeburg, SC 29118-8201
Phone (843) 792-1414

215 Dorange Rd
Branchville, SC 29432-2241
Phone (803) 395-3650

2700 May River Xing
Bluffton, SC 29910-9731
Phone (843) 585-2520

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4559

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5707SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Physician Assistant CurrentSince Oct 20, 2025 Accepting new patients
Musc Community Physicians CurrentSince Mar 15, 2025 Accepting new patients
Musc Community Physicians CurrentSince Mar 15, 2025 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1175 Cook Rd
Ste 215
Orangeburg, SC 29118
Phone (803) 395-3837

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1699590893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873321",
            "telephone_number": "843-876-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 COOK RD STE 215",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188201",
            "telephone_number": "803-395-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1175 Cook Rd Ste 215",
            "city": "Orangeburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291188201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.