Active NPI
Pamela Lee Ivey, PA
- Physician Assistant
- Boiling Springs, SC
National Provider Identifier
1801093828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- A302
- Practice address
- 110 Parris Bridge Road
Boiling Springs, SC 29316 - Phone
- (864) 599-1998
- Fax
- (864) 599-9665
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | A302 | SC | Primary |
Addresses
Primary practice location
110 Parris Bridge Road
Boiling Springs, SC 29316
Mailing address
110 Parris Bridge Road
Boiling Springs, SC 29316
Phone (864) 599-1998
Other names 1
- Pamela Lee Ivey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Previously, effective Aug 13, 2018 through Aug 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302 | SC | MD | Genetic Counselor (M.S.) |
| A302 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1801093828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PARRIS BRIDGE ROAD",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "29316",
"telephone_number": "864-599-1998",
"fax_number": "864-599-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PARRIS BRIDGE ROAD",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "29316",
"telephone_number": "864-599-1998",
"fax_number": "864-599-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "PAMELA",
"middle_name": "LEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "A302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "IVEY",
"middle_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Boiling Springs, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.