Rana Abedini, PA-C
Individual provider Active NPI Physician Assistant · Greenville, SC
NPI 1780154807 · NPPES record last updated Apr 25, 2022
Key facts
- NPI
- 1780154807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3105 (SC)
- Practice address
- 890 W Faris Rd Ste 100
Greenville, SC 29605-4285 - Phone
- (864) 455-2888
- NPI assigned
- Dec 1, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| I20190129003849 | SC | Practitioner - Physician Assistant | 0648517656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3105 | SC | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Gastroenterology Specialists | Current |
Accepting new patients |
Locations
1962 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 722-8000
2001 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 722-8000
Interoperability endpoints
- rabedini248721@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3105 | SC | |
| Physician Assistant | 363A00000X | 3105 | SC | Yes |
Addresses
Primary practice location
890 W Faris Rd Ste 100
Greenville, SC 29605-4285
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3890PA | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rabedini248721@direct.ghs.myhfn.org | Direct |
Other providers in Greenville, SC
- Fiby Kamel Abd El Malek
- Peter Abdelmessih
- Amanda Abdelnour
- Arash Abdi
- Caitlin Elizabeth Abdullah
- Christian John Abeln
- Shae Abercrombie
- Abi Neuro Rehabilitation Services
- Dorcas Abiola-Phillips
- Abiwell Healthcare LLC
All providers in Greenville, 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 Apr 25, 2022. 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.