Cheryl Willis Middleton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

A385 Issued in SC

Practice address

838 Powdersville Rd
Suite G
Easley, SC 29642-3703

Phone

(864) 850-9988

Fax

(864) 850-9989

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 20, 2015 through Jul 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Livingwell Integrative Healthcare

  • Medical Specialty Clinic/Center
  • Easley, SC
  • NPI 1871783845
  NPD (past)
• Primary Care Associates, PC

  dba Primary Care Associates

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1578687281
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932295912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 POWDERSVILLE RD",
            "address_2": "SUITE G",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423703",
            "telephone_number": "864-850-9988",
            "fax_number": "864-850-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 POWDERSVILLE RD",
            "address_2": "SUITE G",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423703",
            "telephone_number": "864-850-9988",
            "fax_number": "864-850-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "CHERYL",
        "middle_name": "WILLIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "A385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE",
            "identifier": "A385",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medmonitor Clinic LLC
• Kay Motz Melba, APRN
• Michael Mequio, M.D.
• Phyllis B Merck, RN
• Alexa Middleton, NP-C
• Ellen B. Miele, M.S.
• Kimberly Therese Mielke, OTR/L
• Ashley Catherine Miller, OTR/L
• Emily Zoino Miller, LPC
• Mind and Her Wellness (BalanceRx)

• Medical Physician Assistant in Easley, SC
• Providers in Easley, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.