Individual provider Active NPI

Charlene Rae McCall

  • Physician Assistant
  • Pendleton, SC
National Provider Identifier
1881457059
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2760 Six and Twenty Rd
Pendleton, SC 29670-9385
Phone
(864) 933-8860
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2760 Six and Twenty Rd
Pendleton, SC 29670-9385

Mailing address

2760 Six and Twenty Rd
Pendleton, SC 29670-9385
Phone (864) 933-8860

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
I20250104000035 SC Practitioner - Physician Assistant 3274061221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1200
Anderson, SC 29621-7916
Phone (864) 716-6140

2000 E Greenville St
Anderson, SC 29621-1580

703 N Fant St
Anderson, SC 29621-1580
Phone (864) 972-0414

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Feb 2, 2024 Accepting new patients
Anmed Health Physician Assistant Past Accepting new patients

Locations

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

Interoperability endpoints

  • Direct secure messaging: cmccall42739@direct.anmedhealth.net

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.

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1881457059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 SIX AND TWENTY RD",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709385",
            "telephone_number": "864-933-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SIX AND TWENTY RD",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709385",
            "telephone_number": "864-933-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "CHARLENE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, SC

Sources for this page

Verify at the official NPI Registry.