Individual provider Active NPI

Emma Eitenmiller, PA-C

  • Physician Assistant
  • Anderson, SC
National Provider Identifier
1720948508
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6205 Issued in SC
Practice address
1655 E Greenville St
Anderson, SC 29621-2062
Phone
(864) 512-2062
NPI assigned
Nov 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 6205 SC Primary

Addresses

Primary practice location

1655 E Greenville St
Anderson, SC 29621-2062

Mailing address

137 Honeycomb LN
Central, SC 29630-3314
Phone (864) 557-2736

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
I20260222000082 SC Practitioner - Physician Assistant 6406337096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

1655 E Greenville St a
Anderson, SC 29621-2062
Phone (864) 224-6375

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6205SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Mar 2, 2026 Accepting new patients
Anmed Health CurrentSince Mar 2, 2026 Accepting new patients

Locations

1655 E Greenville St
#A
Anderson, SC 29621
Phone (864) 224-6375

1655 E Greenville St
Anderson, SC 29621
Phone (803) 224-6375

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1720948508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HONEYCOMB LN",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296303314",
            "telephone_number": "864-557-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212062",
            "telephone_number": "864-512-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITENMILLER",
        "first_name": "EMMA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.