Active NPI
Elizabeth Lauren Powell, PA
- Medical Physician Assistant
- Mt Pleasant, SC
National Provider Identifier
1740433440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1372
- Practice address
- 3400 Salterbeck CT
Suite 100
Mt Pleasant, SC 29466-7118 - Phone
- (843) 971-3361
- Fax
- (843) 971-8492
- NPI assigned
- Oct 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1372 | SC | Primary |
| Physician Assistant | 363A00000X | LL1372 | SC |
Addresses
Primary practice location
3400 Salterbeck CT
Suite 100
Mt Pleasant, SC 29466-7118
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00813750 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
| 0731PA | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.96 of 100
- Quality
- 89.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1372 | SC | MD | Athletic Trainer |
| LL1372 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Carolina Family Care | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Piedmont East Urgent Care Center LLC | Past | Accepting new patients | |
| Piedmont Urgent Care Center at Baxter Village LLC | Past | Accepting new patients | |
| Piedmont Physician Network LLC | Physician Assistant | Past | Accepting new patients |
| Pain Specialists of Charleston | Past | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Mount Pleasant, SC
- NPI 1669743357
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
-
- Interventional Pain Medicine Physician
- Pawleys Island, SC
- NPI 1376218404
-
- Urgent Care Clinic/Center
- Rock Hill, SC
- NPI 1437146537
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
Physician Assistant
-
- Urgent Care Clinic/Center
- Fort Mill, SC
- NPI 1972590073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1740433440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SALTERBECK CT",
"address_2": "SUITE 100",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294667118",
"telephone_number": "843-971-3361",
"fax_number": "843-971-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ELIZABETH",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "1372",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "LL1372",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID-RSFPN",
"identifier": "P00813750",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0731PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.