Active NPI
Nicole L. Pages, PA
- Surgical Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3232
- Practice address
- 2270 Ashley Crossing Dr Ste 110
Charleston, SC 29414-5749 - Phone
- (843) 853-3474
- Fax
- (843) 853-3500
- NPI assigned
- Aug 6, 2019
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 3232 | SC | Primary |
Addresses
Primary practice location
2270 Ashley Crossing Dr Ste 110
Charleston, SC 29414-5749
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3293PA | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 881-0100
851 Leonard Fulghum Dr
Mt Pleasant, SC 29464-3793
Hospital & facility affiliations
- Novant Health East Cooper Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3232 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Past | Accepting new patients |
Locations
2270 Ashley Crossing Dr
Ste 110
Charleston, SC 29414
Phone (843) 769-2000
851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133
3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Interoperability endpoints
- npages1236453@direct.bsmhealth.org
- nicole.pages.1@30548.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Daniel Island, SC
- NPI 1861253981
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Body Imaging Physician
- Mt Pleasant, SC
- NPI 1699641571
-
- Obstetrics & Gynecology Physician
- Mt Pleasant, SC
- NPI 1972374684
-
- Podiatrist
- N Charleston, SC
- NPI 1720376130
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Internal Medicine Physician
- Summerville, SC
- NPI 1982475604
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1881249951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 ASHLEY CROSSING DR STE 110",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145749",
"telephone_number": "843-853-3474",
"fax_number": "843-853-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGES",
"first_name": "NICOLE",
"middle_name": "L.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "3232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3293PA",
"state": "SC"
}
],
"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 May 11, 2021; 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.