Active NPI
Stacy Marie Pye, PA-C
- Medical Physician Assistant
- Columbia, SC
National Provider Identifier
1801107115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1528
- Practice address
- 1709 Barnwell St
Columbia, SC 29201-2641 - Phone
- (803) 254-3376
- Fax
- (803) 254-3883
- NPI assigned
- Jul 1, 2010
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1528 | SC | Primary |
Addresses
Primary practice location
1709 Barnwell St
Columbia, SC 29201-2641
Mailing address
1709 Barnwell St
Columbia, SC 29201-2641
Phone (803) 254-3376
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 |
|---|---|---|---|
| 1528 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1801107115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 BARNWELL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012641",
"telephone_number": "803-254-3376",
"fax_number": "803-254-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 BARNWELL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012641",
"telephone_number": "803-254-3376",
"fax_number": "803-254-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYE",
"first_name": "STACY",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "1528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.