Individual provider Active NPI

Colin Lee Echard, PA-C

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1922761337
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4127 Issued in SC
Practice address
51 Nassau St
Charleston, SC 29403-5513
Phone
(843) 722-4112
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4127 SC Primary

Addresses

Primary practice location

51 Nassau St
Charleston, SC 29403-5513

Mailing address

1230 Jabbers Dr Apt 406
Mount Pleasant, SC 29464-4498
Phone (740) 851-9790

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
I20220505002411 SC Practitioner - Physician Assistant 9234516535 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. CurrentSince Dec 29, 2021 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 29, 2021 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 29, 2021 Accepting new patients

Locations

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

Organizations & group practices 4

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1922761337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JABBERS DR APT 406",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644498",
            "telephone_number": "740-851-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHARD",
        "first_name": "COLIN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.