Ryan Ayers

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sumter, SC

NPI 1912692005 · NPPES record last updated Jul 7, 2023

Key facts

NPI
1912692005
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
129 N Washington St
Sumter, SC 29150-4949
Phone
(803) 774-9755
NPI assigned
Apr 6, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230808000242 SC Order and Referring Only - Family Practice
Practitioner - Family Practice
4183085160

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL89947 SC
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

129 N Washington St
Sumter, SC 29150-4949

Mailing address

129 N Washington St
Sumter, SC 29150-4949

Other providers in Sumter, SC

All providers in Sumter, SC · Student in an Organized Health Care Education/Training Program in South Carolina

Sources for this page

Verify at the official NPI Registry.