Individual provider Active NPI

Tessa Corio, PA

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1750162160
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5072 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-8908
Phone
(843) 792-1414
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 5072 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-8908

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

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: 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
I20240222004047 SC Practitioner - Physician Assistant 8426492968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family Care IncGroup PAC ID 4587557731, 81 clinicians

Practice addresses (Care Compare)

8992 University Blvd
Suite 300
North Charleston, SC 29406-8104
Phone (843) 876-8555

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5072SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Dec 1, 2023 Accepting new patients
Carolina Family Care, Inc CurrentSince Dec 1, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant Past Accepting new patients
Charleston Pediatrics Past Accepting new patients
Carolina Family Care, Inc Past Accepting new patients
Carolina Family Care, Inc Past Accepting new patients

Locations

2075 Charlie Hall Blvd
#B
Charleston, SC 29414
Phone (843) 876-3157

2060 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 876-0111

490 Martello Dr
Charleston, SC 29412
Phone (843) 762-4963

864 Island Park Dr
Ste 101
Daniel Island, SC 29492
Phone (843) 792-4500

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1200 Innovation Way
Ste 201
Mt Pleasant, SC 29466
Phone (843) 876-1454

1440 Ben Sawyer Blvd
Ste 1109
Mt Pleasant, SC 29464
Phone (843) 876-8333

1200 Innovation Way
Ste 101B
Mt Pleasant, SC 29466
Phone (843) 876-1445

200 Ports Authority Dr
Mt Pleasant, SC 29464
Phone (843) 876-1560

8471 Resolute Way
Ste 102
North Charleston, SC 29420
Phone (843) 876-2879

8992 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 876-8279

2000 1st Ave
Summerville, SC 29486
Phone (843) 876-7930

87 Springview Ln
Summerville, SC 29485
Phone (843) 876-7979

Interoperability endpoints

  • Direct secure messaging: tcorio403799@direct.musc.edu

Organizations & group practices 6

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 6

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1750162160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258908",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIO",
        "first_name": "TESSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5072",
            "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": "171 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294258908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.