Active NPI
Carson Brewer Medlin, PA
- Physician Assistant
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4497
- Practice address
- 10630 Clemson Blvd Ste 100
Seneca, SC 29678-4545 - Phone
- (864) 482-6000
- Fax
- (864) 482-7000
- NPI assigned
- Jun 30, 2022
- Last updated
- Mar 26, 2024
- 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 | 4497 | SC | Primary |
| Medical Physician Assistant | 363AM0700X | NU | ||
| Surgical Physician Assistant | 363AS0400X | NU |
Addresses
Primary practice location
10630 Clemson Blvd Ste 100
Seneca, SC 29678-4545
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other names 1
- Carson Mackenzie Ida Brewer
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
- University of South Carolina School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10630 Clemson Blvd
Suite 100
Seneca, SC 29678-4545
Phone (864) 242-4263
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4497 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
10630 Clemson Blvd
Ste 100
Seneca, SC 29678
Phone (864) 260-9910
Interoperability endpoints
- cbrewer500615@direct.ghs.myhfn.org
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba University Medical Group/Mobile Health Clinic
- Nurse Practitioner
- Greenville, SC
- NPI 1053786483
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Oconee Memorial Hospital
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
dba Prisma Health Center For Family Medicine-Oconee
- Clinic/Center
- Seneca, SC
- NPI 1407345846
Hospital
-
dba Prisma Health Home Health-Upstate
- Home Health Agency
- Greenville, SC
- NPI 1538615653
-
dba Prisma Health Oconee Pain Management
- Pain Clinic/Center
- Seneca, SC
- NPI 1891237632
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1912639683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 CLEMSON BLVD STE 100",
"city": "SENECA",
"state": "SC",
"postal_code": "296784545",
"telephone_number": "864-482-6000",
"fax_number": "864-482-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "CARSON",
"middle_name": "BREWER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4497",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARSON",
"last_name": "BREWER",
"middle_name": "MACKENZIE IDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.