Stephen Clayton Parker
Individual provider Active NPI Physician Assistant · Florence, SC
NPI 1730965997 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1730965997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 800 E Cheves St Ste 260
Florence, SC 29506-2652 - Phone
- (843) 610-5190
- NPI assigned
- Sep 5, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231027002010 | SC | Practitioner - Physician Assistant | 8729434758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Physician Assistant | Current |
Accepting new patients |
| Florence Ears, Nose & Throat, PC | Past | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
506 E Cheves St
#202
Florence, SC 29506
1521 McLure Ct
Florence, SC 29505
Phone (843) 665-1000
800 E Cheves St
Ste 260
Florence, SC 29506
Phone (803) 665-7941
Interoperability endpoints
- sparker94680@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | SC | Yes |
Addresses
Primary practice location
800 E Cheves St Ste 260
Florence, SC 29506-2652
Mailing address
229 Bethea Rd
Darlington, SC 29532-7635
Phone (843) 610-5190
Other providers in Florence, SC
- Jan Parish
- Laceye Ann Parker
- Naomie Evamarie Parker
- Samuel Edward Parker Jr.
- Sarah Naomi Parker
- Ami Parmar
- Ashish Gajabsinh Parmar
- Kylie Parrish
- Partner in Care Agency LLC
- Hudnall Paschal
All providers in Florence, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.