Individual provider Active NPI

Allyson J Thatcher, MD

  • Interventional Pain Medicine Physician
  • North Charleston, SC
National Provider Identifier
1922047380
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD34272 Issued in SC
Practice address
9267 Medical Plaza Dr
North Charleston, SC 29406-9139
Phone
(843) 797-3636
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
Interventional Pain Medicine Physician 208VP0014X MD34272 SC Primary

Addresses

Primary practice location

9267 Medical Plaza Dr
North Charleston, SC 29406-9139

Mailing address

9267 Medical Plaza Dr
North Charleston, SC 29406-9139
Phone (843) 797-3636

Other practice location 1

108 N Highway 52
Moncks Corner, SC 29461-3910
Phone (843) 797-3636

Other practice location 2

205 Eddie Chasteen Dr
Walterboro, SC 29488-5728
Phone (843) 797-3636

Other practice location 3

226 Willow Valley Lakes Dr
Suite 200
Willow Street, PA 17584-9665
Phone (717) 464-0719

Other practice location 4

226 Willow Valley Lakes Dr
Suite 200
Willow Street, PA 17584-9665
Phone (717) 464-0719

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120406000402 SC Practitioner - Family Practice 7911168513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trident Pain Center LLCGroup PAC ID 7911897269, 18 clinicians

Practice addresses (Care Compare)

9267 Medical Plaza Dr
Suite G
N Charleston, SC 29406-9139
Phone (843) 797-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD34272SCMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trident Pain Center LLC Interventional Pain Medicine CurrentSince Aug 22, 2013 Accepting new patients
Trident Pain Center LLC CurrentSince Aug 22, 2013 Accepting new patients
Hyper Healing CurrentSince Dec 1, 2018 Accepting new patients
Lancaster Hma Physician Management, LLC Past Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

1930 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 767-4465

108 N Highway 52
Moncks Corner, SC 29461
Phone (803) 767-4465

9267 Medical Plaza Dr
Ste G
North Charleston, SC 29406
Phone (843) 410-4402

9267 Medical Plaza Dr
North Charleston, SC 29406
Phone 84326660844

9275 Medical Plaza Dr
Ste D
North Charleston, SC 29406
Phone (843) 410-4499

9275 Medical Plaza Dr
Ste F
North Charleston, SC 29406
Phone (803) 767-4465

205 Eddie Chasteen Dr
Walterboro, SC 29488
Phone (803) 767-4465

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1922047380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N Highway 52",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613910",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Eddie Chasteen Dr",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294885728",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Willow Valley Lakes Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Willow Street",
            "state": "PA",
            "postal_code": "175849665",
            "country_code": "US",
            "telephone_number": "717-464-0719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Willow Valley Lakes Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Willow Street",
            "state": "PA",
            "postal_code": "175849665",
            "country_code": "US",
            "telephone_number": "717-464-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "ALLYSON",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "MD34272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.