Individual provider Active NPI

Olivia Miles Dillenbeck, PA-C

  • Physician Assistant
  • Florence, SC
National Provider Identifier
1811588684
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MPA.3848 Issued in SC
Practice address
401 E Cheves St Ste 301
Florence, SC 29506-2615
Phone
(843) 777-7166
Fax
(843) 777-7167
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 MPA.3848 SC Primary

Addresses

Primary practice location

401 E Cheves St Ste 301
Florence, SC 29506-2615

Mailing address

401 E Cheves St Ste 301
Florence, SC 29506-2615
Phone (843) 777-7166

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
I20210924002127 SC Practitioner - Physician Assistant 5890192322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians
Palmetto Gastroenterology and Hepatology PAGroup PAC ID 0547200578, 5 clinicians

Practice addresses (Care Compare)

401 E Cheves St
Suite 301
Florence, SC 29506-2615
Phone (843) 777-7166

410 University Pkwy
Suite 2100
Aiken, SC 29801-6832
Phone (803) 648-1171

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Allendale County Hospital Hospital, Fairfax, SC, CCN 421300
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3848SCMDGeriatric Pharmacist
MPA.3848SCMDPhysician Assistant

Organizations & group practices 2

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 6

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1811588684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CHEVES ST STE 301",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062615",
            "telephone_number": "843-777-7166",
            "fax_number": "843-777-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHEVES ST STE 301",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062615",
            "telephone_number": "843-777-7166",
            "fax_number": "843-777-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLENBECK",
        "first_name": "OLIVIA",
        "middle_name": "MILES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.3848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.