Terri Lynn Blackwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TL 1833 Issued in SC

Practice address

851 Leonard Fulghum Dr Ste 101
Mount Pleasant, SC 29464-3793

Phone

(843) 971-9350

NPI assigned

Oct 3, 2012

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089

Merit-based Incentive Payment System (MIPS)

Final score

84.63 of 100Reported as group

Quality

80.11

Promoting interoperability

100

Improvement activities

40

Cost

68.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terri.blackwell.1@30548.direct.athenahealth.com

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.

• East Cooper Physician Group LLC

  • Internal Medicine Physician
  • Daniel Island, SC
  • NPI 1861253981
  Medicare reassignment Care Compare group NPD (past)
• East Cooper Physician Group LLC

  dba Novant Health Sewee Family Medicine

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1114798840
  NPD
• East Cooper Physician Group LLC

  dba Novant Health Diagnostic Imaging at East Cooper

  • Body Imaging Physician
  • Mount Pleasant, SC
  • NPI 1699641571
  NPD

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

• East Cooper Medical Center LLC

  dba Novant Health East Cooper Medical Center

  • General Acute Care Hospital
  • Mount Pleasant, SC
  • NPI 1841069044
  Care Compare affiliation

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1821340654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 150",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643243",
            "telephone_number": "843-971-9350",
            "fax_number": "843-971-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM DR STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643793",
            "telephone_number": "843-971-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Hospital Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643243",
            "country_code": "US",
            "telephone_number": "843-971-9350",
            "fax_number": "843-971-9351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL 1833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Biwan, RN
• Elizabeth Jane Bjornson, DDS, MHS
• Joshua S. Black, M.D.
• Jean D Blackmon, RN
• Jonathan David Blackwell, PT PHYSICAL THERAPIS
• Blair Hayes Co. LLC (Blair Hayes Ortho)
• Amy Blair
• Christine Roebuck Blake, OTR L CHT
• Eugenia Blake
• Jeffrey Todd Blank, D.M.D.

• Physician Assistant in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.