Active NPI
Tiara Evette Eady, PA
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MPA.5126
- Practice address
- 1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936 - Phone
- (843) 793-6093
- NPI assigned
- Dec 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MPA.5126 | SC | Primary |
Addresses
Primary practice location
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Mailing address
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240403003162 | SC | Practitioner - Physician Assistant | 7113365669 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medcare Express - North Charleston LLCCharleston Carenow Urgent Care LLC
Practice addresses (Care Compare)
1115 Savannah Hwy
Charleston, SC 29407-7805
Phone (843) 300-3355
1675 N Main St
Summerville, SC 29486-7847
Phone (843) 285-2169
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093
8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629
8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5126 | SC | MD | Professional Counselor |
| MPA.5126 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcare Express - North Charleston LLC | Current | Accepting new patients | |
| Charleston Carenow Urgent Care, LLC | Past | Accepting new patients |
Locations
1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355
1850 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 576-5246
1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246
10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570
7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310
2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
8720 Dorchester Rd
#1201
North Charleston, SC 29420
8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406
3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411
201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209
301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246
1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169
110 Medical Cir
Ste A
West Columbia, SC 29169
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1831965607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074936",
"telephone_number": "843-793-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074936",
"telephone_number": "843-793-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADY",
"first_name": "TIARA",
"middle_name": "EVETTE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-01",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "MPA.5126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.