Individual provider Active NPI

Isaac Stappas, PA-C

  • Physician Assistant
  • Mt Pleasant, SC
National Provider Identifier
1801240338
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06390 Issued in NC
Practice address
3510 Highway 17 Byp N Ste 105
Mt Pleasant, SC 29466-8228
Phone
(843) 789-1850
Fax
(843) 724-2551
NPI assigned
Apr 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06390 NC Primary

Addresses

Primary practice location

3510 Highway 17 Byp N Ste 105
Mt Pleasant, SC 29466-8228

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address istappas307902@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222002927 SC Practitioner - Physician Assistant 4789979204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426

300 Callen Blvd
Summerville, SC 29486-2809

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

3510 Highyway 17
Mt Pleasant, SC 29466-8227
Phone (843) 789-1800

3510 Hwy 17 Byp N
Suite 110
Mt Pleasant, SC 29466-8228
Phone (843) 884-8045

3510 Hwy 17 N
Mt Pleasant, SC 29466-8227

3510 Hwy 17 N
Suite 110
Charleston, SC 29466-8228
Phone (843) 723-2838

3510 Hwy 17 N 325
Charleston Urology Associates
Mt Pleasant, SC 29466-8227
Phone (843) 884-8045

3510 Hwy 17 North 110
Mt. Pleasant, SC 29466-8227
Phone (843) 958-1281

3510 N Hwy 17
Mt Pleasant, SC 29466-8228

3510N Hwy 17 110
Mount Pleasant, SC 29466-8228
Phone (843) 606-7246

4278 Ladson Rd
Ladson, SC 29456-5452
Phone (844) 975-6683

594 Lone Tree Dr
Mount Pleasant, SC 29464-8170

Hospital & facility affiliations

  • Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4241SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Apr 8, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Apr 8, 2024 Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

3510 N Highway 17
Ste 105
Mt Pleasant, SC 29466
Phone (843) 789-1850

3510 N Highway 17
Ste 220
Mt Pleasant, SC 29466
Phone (843) 720-8317

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: istappas1525076@direct.bsmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1801240338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HIGHWAY 17 BYP N STE 105",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668228",
            "telephone_number": "843-789-1850",
            "fax_number": "843-724-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPPAS",
        "first_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "istappas307902@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "449 N Wendover Rd Ste A",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.