Individual provider Active NPI

Evthokia Spears Thompson, PA-C

  • Physician Assistant
  • Rock Hill, SC
National Provider Identifier
1891411039
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Phone
(803) 909-6363
Fax
(877) 658-8669
NPI assigned
Oct 19, 2022
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 NU Primary

Addresses

Primary practice location

455 Lakeshore Pkwy
Rock Hill, SC 29730-4205

Mailing address

455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Phone (803) 909-6363

Other identifiers 1

IdentifierTypeStateIssuer
6048PAMedicaidSC

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
I20230111002589 SC Practitioner - Physician Assistant 3173993995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1 Medical Park Dr
Chester, SC 29706-9769

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4557SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Center CurrentSince Jul 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Dec 5, 2022 Accepting new patients
Affinity Health Center Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Affinity Health Center CurrentSince Jul 1, 2025 Accepting new patients
Musc Community Physicians Single Specialty CurrentSince Dec 5, 2022 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

300 Clinton Ave
Clover, SC 29710
Phone (803) 810-8400

455 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 909-6363

501 Belleview Rd
Rock Hill, SC 29730
Phone (803) 909-6363

1010 Devinney Rd
York, SC 29745
Phone (803) 909-6363

37 Pinckney St
York, SC 29745
Phone (803) 909-6363

Interoperability endpoints

  • Direct secure messaging: ethompson414865@direct.musc.edu

Organizations & group practices 5

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1891411039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-909-6363",
            "fax_number": "877-658-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-909-6363",
            "fax_number": "877-658-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EVTHOKIA",
        "middle_name": "SPEARS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6048PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.