Active NPI
Colleen Hill Patton, PA
- Physician Assistant
- Bluffton, SC
National Provider Identifier
1902160930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3565
- Practice address
- 100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5023 - Phone
- (843) 836-7101
- Fax
- (843) 836-7112
- NPI assigned
- Jun 25, 2012
- Last updated
- Oct 20, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103689 | NC | |
| Medical Physician Assistant | 363AM0700X | 0110003919 | VA | |
| Physician Assistant | 363A00000X | 3565 | SC | Primary |
Addresses
Primary practice location
100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5023
Mailing address
45 Hospital Center CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 689-2895
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3565 | SC | MD | Physician Assistant |
| 0110003919 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Candler Urgent Care Centers LLC | Current | Accepting new patients | |
| Cove Creek Emergency Physicians Medical Group, Inc. | Past | Accepting new patients |
Locations
3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533
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.
-
- Hematology & Oncology Physician
- Hilton Head Island, SC
- NPI 1912177239
-
- Urgent Care Clinic/Center
- Bluffton, SC
- NPI 1902468697
-
- Emergency Medicine Physician
- Abingdon, VA
- NPI 1811395585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1902160930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HOSPITAL CENTER CMNS",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299262837",
"telephone_number": "843-689-2895",
"fax_number": "843-689-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BUCKWALTER PLACE BLVD STE 130",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299105023",
"telephone_number": "843-836-7101",
"fax_number": "843-836-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "COLLEEN",
"middle_name": "HILL",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2021-10-20",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103689",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110003919",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "3565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.