Individual provider Active NPI

Ashley Meador Bryan, PA

  • Physician Assistant
  • Orangeburg, SC
National Provider Identifier
1881138378
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2937 Issued in SC
Practice address
1097A Cook Rd
Orangeburg, SC 29118-8209
Phone
(803) 534-5110
NPI assigned
Dec 19, 2016
Last updated
Aug 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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 2937 SC Primary

Addresses

Primary practice location

1097A Cook Rd
Orangeburg, SC 29118-8209

Mailing address

9 W Browning Rd
Apt 2a
Collingswood, NJ 08108-1134
Phone (864) 466-2342

Other practice location 1

9 W Browning Rd
Apt 2A
Collingswood, NJ 08108-1134
Phone (864) 466-2342

Other identifiers 1

IdentifierTypeStateIssuer
GP6292MedicaidSC

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
I20180403002230 SC Practitioner - Physician Assistant 4385921410 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Feb 12, 2018 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Feb 12, 2018 Accepting new patients

Locations

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

1175 Cook Rd
Ste 320
Orangeburg, SC 29118
Phone (803) 395-3960

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1881138378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W BROWNING RD",
            "address_2": "APT 2A",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081134",
            "telephone_number": "864-466-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097A COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188209",
            "telephone_number": "803-534-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 W Browning Rd",
            "address_2": "Apt 2A",
            "address_purpose": "LOCATION",
            "city": "Collingswood",
            "state": "NJ",
            "postal_code": "081081134",
            "country_code": "US",
            "telephone_number": "864-466-2342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ASHLEY",
        "middle_name": "MEADOR",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6292",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.