Individual provider Active NPI

Robert Scott Milam, PA-C

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1821267154
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01307 Issued in WV
Practice address
4407 Maccorkle Ave SE
Charleston, WV 25304-2505
Phone
(304) 720-3619
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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 01307 WV Primary

Addresses

Primary practice location

4407 Maccorkle Ave SE
Charleston, WV 25304-2505

Mailing address

4407 Maccorkle Ave SE
Charleston, WV 25304-2505
Phone (304) 720-3619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100318000014 WV Practitioner - Physician Assistant 6901931757 Reassigns benefits to 4 organizations
I20211021002213 SC Practitioner - Physician Assistant 6901931757 Reassigns benefits to 3 organizations
I20231026002334 FL Practitioner - Physician Assistant 6901931757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
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)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01307WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jul 18, 2025 Accepting new patients
Hospital Development Co CurrentSince Mar 1, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
Inpatient Specialists Group CurrentSince Nov 1, 2023 Accepting new patients
Hospital Development Co CurrentSince Mar 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 18, 2025 Accepting new patients
Georgetown Memorial Hospital CurrentSince Oct 11, 2021 Accepting new patients
Musc Community Physicians Current Accepting new patients
Hospital Development Co CurrentSince Jan 24, 2026 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Marshall West Virginia Ed Associates, LLC Past Accepting new patients

Locations

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

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

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1821267154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042505",
            "telephone_number": "304-720-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042505",
            "telephone_number": "304-720-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.