NPIMap

Individual provider Active NPI

Nikki L Newman, PA

  • Physician Assistant
  • Bluffton, SC
National Provider Identifier
1851694905
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2138 Issued in SC
Practice address
1 Burnt Church Rd Ste a
Bluffton, SC 29910-6405
Phone
(843) 706-2185
Fax
(855) 299-5693
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 2138 SC Primary

Addresses

Primary practice location

1 Burnt Church Rd Ste a
Bluffton, SC 29910-6405

Mailing address

955 Ribaut Rd
Beaufort, SC 29902-5454
Phone (843) 522-7843

Other identifiers 1

IdentifierTypeStateIssuer
1986PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729009427 SC Practitioner - Physician Assistant 6901068857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, shared by 11 NPIs, 197 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

1 Burnt Church Rd
Bluffton, SC 29910-6405

122 Okatie Ctr Blvd N
Suite 100
Okatie, SC 29909-3750
Phone (843) 524-3344

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

300 Midtown Dr
Beaufort, SC 29906-5200

989 Ribaut Rd
Beaufort, SC 29902-5472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2138SCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Jun 21, 2021 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Dec 21, 2023 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jun 21, 2021 Accepting new patients
Clubview Emergency Physicians Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

1 Burnt Church Rd
#A
Bluffton, SC 29910
Phone (843) 706-2185

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: nikki.newman.1@16436.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1851694905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025454",
            "telephone_number": "843-522-7843",
            "fax_number": "843-522-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BURNT CHURCH RD STE A",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106405",
            "telephone_number": "843-706-2185",
            "fax_number": "855-299-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "NIKKI",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.