Summer Landers, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1404 Issued in SC

Practice address

2145 Henry Tecklenburg Dr
Suite 220
Charleston, SC 29414-5893

Phone

(843) 723-8823

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: slanders1236259@direct.bsmhealth.org

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1750654646",
    "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": "2145 HENRY TECKLENBURG DR",
            "address_2": "SUITE 220",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145893",
            "telephone_number": "843-723-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "SUMMER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Lynn Lancaster, RN
• Kristen Ann Lancaster, MD
• Luke Lancaster, MD
• William Purvis Lancaster, M.D.
• Elliot Lance, PT, DPT
• Landrie H Ethredge Professional Counseling, LLC
• Anna Chesson Landry, CRNA
• Mia Rhiannon Landry, M.S., BCBA
• Anastacia Lane, D.M.D
• Jacob S Lane, DO

• Surgical Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.