Active NPI
Alexandra Mary Fitzpatrick, PA-C
- Physician Assistant
- Mount Pleasant, SC
National Provider Identifier
1851980676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3854
- Practice address
- 950 Houston Northcutt Blvd Ste 205
Mount Pleasant, SC 29464-5645 - Phone
- (843) 818-3800
- Fax
- (888) 491-9486
- NPI assigned
- Jan 15, 2021
- 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 | 3854 | SC | Primary |
Addresses
Primary practice location
950 Houston Northcutt Blvd Ste 205
Mount Pleasant, SC 29464-5645
Mailing address
950 Houston Northcutt Blvd Ste 205
Mount Pleasant, SC 29464-5645
Phone (843) 818-3800
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients |
Locations
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1851980676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 HOUSTON NORTHCUTT BLVD STE 205",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645645",
"telephone_number": "843-818-3800",
"fax_number": "888-491-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 HOUSTON NORTHCUTT BLVD STE 205",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645645",
"telephone_number": "843-818-3800",
"fax_number": "888-491-9486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "ALEXANDRA",
"middle_name": "MARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "3854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.