Individual provider Active NPI

Mallory Marie Cauthen, PA-C

  • Physician Assistant
  • Lancaster, SC
National Provider Identifier
1811627581
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4799 Issued in SC
Practice address
1025 W Meeting St Ste 101
Lancaster, SC 29720-2245
Phone
(803) 416-5453
Fax
(803) 416-5456
NPI assigned
Jun 14, 2022
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 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 4799 SC Primary

Addresses

Primary practice location

1025 W Meeting St Ste 101
Lancaster, SC 29720-2245

Mailing address

1025 W Meeting St Ste 101
Lancaster, SC 29720-2245
Phone (803) 416-5453

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
I20230629001151 SC Practitioner - Physician Assistant 8729447404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1025 W Meeting St
Suite 101
Lancaster, SC 29720-2245
Phone (803) 285-3700

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330

820 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4799SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince May 7, 2023 Accepting new patients
Musc Community Physicians CurrentSince May 7, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

114 Gateway Corporate Blvd
Ste 230
Columbia, SC 29203
Phone (803) 365-8640

1025 W Meeting St
Ste 101
Lancaster, SC 29720
Phone (803) 285-3700

Interoperability endpoints

  • Direct secure messaging: mcauthen423980@direct.musc.edu

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1811627581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST STE 101",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202245",
            "telephone_number": "803-416-5453",
            "fax_number": "803-416-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST STE 101",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202245",
            "telephone_number": "803-416-5453",
            "fax_number": "803-416-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTHEN",
        "first_name": "MALLORY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.