Individual provider Active NPI

Stefanie Ann Mauney, PA

  • Medical Physician Assistant
  • North Charleston, SC
National Provider Identifier
1861864431
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2434 Issued in SC
Practice address
8740 Rivers Ave
North Charleston, SC 29406-9211
Phone
(843) 572-5990
NPI assigned
Oct 22, 2015
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2434 SC
Medical Physician Assistant 363AM0700X 2434 SC Primary

Addresses

Primary practice location

8740 Rivers Ave
North Charleston, SC 29406-9211

Mailing address

2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050

Other practice location 1

2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107000590 SC Practitioner - Physician Assistant 2961704903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern Univ College of Dental Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Specialists of CharlestonGroup PAC ID 6002971165, 17 clinicians
Arcis Healthcare LLCGroup PAC ID 0042448748, 34 clinicians

Practice addresses (Care Compare)

15 Monckton Blvd
Columbia, SC 29206-4700
Phone (843) 818-1181

150 Wall St
Suite a
Pawleys Island, SC 29585-5000
Phone (843) 818-1181

2695 Elms Plantation Blvd
Suite a
North Charleston, SC 29406-7132
Phone (843) 818-1181

2695 Elms Plantation Blvd a
North Charleston, SC 29406-7132

93 Springview LN
Unit B
Summerville, SC 29485-8143
Phone (843) 797-5050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Specialists of Charleston CurrentSince Aug 6, 2023 Accepting new patients
Arcis Healthcare, LLC CurrentSince Jan 1, 2026 Accepting new patients
Arcis Healthcare, LLC Medical CurrentSince Jan 1, 2026 Accepting new patients

Locations

1951 Clements Ferry Rd
Ste 100
Charleston, SC 29492
Phone (843) 797-5050

9565 Highway 78
Bldg 100
Ladson, SC 29456
Phone (843) 553-2477

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050

130 E 3rd North St
Summerville, SC 29483
Phone (843) 797-5050

93 Springview Ln
Unit B
Summerville, SC 29485
Phone (843) 266-4883

Organizations & group practices 4

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 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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1861864431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069171",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069211",
            "telephone_number": "843-572-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 Tricom St",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069171",
            "country_code": "US",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUNEY",
        "first_name": "STEFANIE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2434",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.