Active NPI
Anthony Ty Medlin, PA-C
- Physician Assistant
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2494
- Practice address
- 303 E Wood St
Spartanburg, SC 29303-3020 - Phone
- (864) 208-8800
- Fax
- (864) 208-8657
- NPI assigned
- Dec 14, 2015
- Last updated
- Sep 9, 2026
- Sex
- Male
- 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 | 2494 | SC | Primary |
Addresses
Primary practice location
303 E Wood St
Spartanburg, SC 29303-3020
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other practice location 1
SC House Calls, Inc.
111 Doctors Cir.
Columbia City, SC 29203
Phone (800) 491-0909
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- anthonymedlin@orthospeci.allscriptsdirect.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.
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Orthopaedic Surgery Physician
- Spartanburg, SC
- NPI 1851348403
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Union, SC
- NPI 1396129201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1891160016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E WOOD ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033020",
"telephone_number": "864-208-8800",
"fax_number": "864-208-8657"
}
],
"practiceLocations": [
{
"address_1": "SC House Calls, Inc.",
"address_2": "111 Doctors Cir.",
"address_purpose": "LOCATION",
"city": "Columbia City",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "800-491-0909",
"fax_number": "864-208-0318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDLIN",
"first_name": "ANTHONY",
"middle_name": "TY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-14",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Medcare Urgent Care Spartanburg, LLC (Medcare Urgent Care)
- Medexpress Primary Care South Carolina, P.C. (Spartanburg Michelin Family Health Center)
- Medical & Surgical Dermatology, LLC (Westgate Dermatology)
- Medical Services of America Inc (Medi Home Care)
- Roxie C Medley, LPC
- Melvin Medlock, MD
- Medq Medical Supply
- Annie M Meeks, COTA
- Sydney Nicole Meese, PA
- Daniel Boyd Meetze, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.