NPIMap

Individual provider Active NPI

Thomas K Stewart, P.A.

  • Medical Physician Assistant
  • Marion, SC
National Provider Identifier
1922026046
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
A212 Issued in SC
Practice address
1205 N Main St
Marion, SC 29571-2008
Phone
(843) 423-0760
Fax
(843) 423-8138
NPI assigned
Jul 17, 2006
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X A212 SC Primary

Addresses

Primary practice location

1205 N Main St
Marion, SC 29571-2008

Mailing address

1205 N Main St
Marion, SC 29571-2008
Phone (843) 423-0760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstewart254581@direct.musc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001004 SC Practitioner - Physician Assistant 5496949471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1205 N Main St
Marion, SC 29571-2008
Phone (843) 423-0760

511 S Main St
Mullins, SC 29574-3509
Phone (843) 464-8244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
83.18
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212SCMDEmergency Medicine Physician
A212SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Mar 1, 2020 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2020 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients

Locations

1205 N Main St
Marion, SC 29571
Phone (843) 423-0760

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

2845 E Highway 76
Ste 3
Mullins, SC 29574
Phone (843) 431-2730

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

Interoperability endpoints

  • Direct secure messaging: tstewart254581@direct.musc.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1922026046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N MAIN ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295712008",
            "telephone_number": "843-423-0760",
            "fax_number": "843-423-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N MAIN ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295712008",
            "telephone_number": "843-423-0760",
            "fax_number": "843-423-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "THOMAS",
        "middle_name": "K",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "A212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstewart254581@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 N Main St",
            "city": "Marion",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295712008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

Verify at the official NPI Registry.