James W. Patterson, P.A.
Individual provider Active NPI Medical Physician Assistant · Conway, SC
NPI 1790774651 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1790774651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA1561 (SC)
- Practice address
- 300 Singleton Ridge Rd
Conway, SC 29526-9142 - Phone
- (843) 347-7111
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1561 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher County Hospital District | Past |
Accepting new patients | |
| Rolling Plains Physicians Office, PLLC | 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 | |
| Fisher County Hospital District | Past |
Accepting new patients | |
| Fisher County Dura-Medical Equipment Co. | Past |
Accepting new patients | |
| Fisher County Hospital District | Past |
Accepting new patients | |
| Roby Rural Health Clinic | Past |
Accepting new patients | |
| Texas Midwest Emergency Physicians PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1561 | SC | Yes |
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
Other providers in Conway, SC
- Mansi D Patel
- Nikhil Baldevbhai Patel
- Pinal Govindbhai Patel
- Shyamal Patel
- Vaishali Sachin Patel
- Betsy L Paul
- Kevin P Paul
- Iridi Pavliqoti
- Louise K Pearce
- Sonya Monique Pearson
All providers in Conway, SC · Medical 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 Jun 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.