Mariah Barrett, PA-C
Individual provider Active NPI Dermatology Physician · Aiken, SC
NPI 1891421079 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1891421079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 4511 (SC)
- Practice address
- 1520 Two Notch Rd SE
Aiken, SC 29803-5551 - Phone
- (803) 649-3909
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of South Carolina School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia Dermatology and Skin Surgery Center
Practice addresses (Care Compare)
4202 Maccorkle Ave SW
Suite 200
S Charleston, WV 25309-1320
Phone (304) 925-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.24 of 100
- Quality
- 80.28
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220818000552 | SC | Practitioner - Physician Assistant | 6103209523 | Reassigns benefits to 2 organizations |
| I20251218001328 | WV | Practitioner - Physician Assistant | 6103209523 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4511 | SC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia Dermatology and Skin Surgery Center | Current |
Accepting new patients |
Locations
3012 Champion Dr
Barboursville, WV 25504
Phone (304) 736-8764
4202 Maccorkle Ave SW
#200
South Charleston, WV 25309
Phone (304) 925-7546
4202 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 925-4761
Interoperability endpoints
- mariah.barrett@adcs1.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4511 | SC | Yes |
Addresses
Primary practice location
1520 Two Notch Rd SE
Aiken, SC 29803-5551
Mailing address
104 Shadow LN
Piedmont, SC 29673-8392
Other providers in Aiken, SC
- Holly P Barber
- Laura Elizabeth Barber
- Marolyn L Baril
- Devonn Janice Barlow
- Walker Barmore
- Lynn Barrow
- Ashley Jae Barry
- Kayla Barton Hadden
- Kenkaylia Barton
- Tommy Barton
All providers in Aiken, SC · Dermatology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.