Individual provider Active NPI

Colleen Hill Patton, PA

  • Physician Assistant
  • Bluffton, SC
National Provider Identifier
1902160930
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3565 Issued in SC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527001078 SC Practitioner - Physician Assistant 7810912045 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3565SCMDPhysician Assistant
0110003919VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Dec 29, 2020 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.

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

Verify at the official NPI Registry.