Active NPI
James W. Patterson, P.A.
- Medical Physician Assistant
- Conway, SC
National Provider Identifier
1790774651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1561
- Practice address
- 300 Singleton Ridge Rd
Conway, SC 29526-9142 - Phone
- (843) 347-7111
- NPI assigned
- Oct 13, 2005
- Last updated
- Jun 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1561 | SC | Primary |
Addresses
Primary practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Mailing address
2156 Longwood Lakes Dr
Myrtle Beach, SC 29579-7529
Phone (843) 360-0067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1561 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher County Dura-Medical Equipment Co. | Past | Accepting new patients | |
| Rolling Plains Physicians Office, PLLC | Past | Accepting new patients | |
| Fisher County Hospital District | Past | Accepting new patients | |
| Fisher County Hospital District | Past | Accepting new patients | |
| Fisher County Hospital District | Past | Accepting new patients | |
| Fisher County Hospital District | Past | Accepting new patients | |
| Roby Rural Health Clinic | Past | Accepting new patients | |
| Fisher County Hospital District | Past | Accepting new patients | |
| Texas Midwest Emergency Physicians PA | Past | Accepting new patients | |
| Roby Rural Health Clinic | Past | Accepting new patients |
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Oxygen Equipment & Supplies (DME)
- Rotan, TX
- NPI 1154497188
-
- Durable Medical Equipment & Medical Supplies
- Rotan, TX
- NPI 1215050349
-
- Medicare Defined Swing Bed Hospital Unit
- Rotan, TX
- NPI 1306969431
-
dba Roby Rural Health Clinic
- Rural Health Clinic/Center
- Rotan, TX
- NPI 1336386978
-
- Land Ambulance
- Rotan, TX
- NPI 1497878524
-
- Critical Access Hospital
- Rotan, TX
- NPI 1598746703
-
- Ambulatory Family Planning Facility
- Rotan, TX
- NPI 1578749289
-
- Rural Health Clinic/Center
- Rotan, TX
- NPI 1891972246
-
- Multi-Specialty Clinic/Center
- Sweetwater, TX
- NPI 1184676793
-
- Emergency Medical Services (Emergency Medicine) Physician
- Abilene, TX
- NPI 1740278993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1790774651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2156 LONGWOOD LAKES DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295797529",
"telephone_number": "843-360-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-347-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JAMES",
"middle_name": "W.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "PA1561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.