Individual provider Active NPI

Hayley Plant Bryan, PA

  • Medical Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1962946137
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2642 Issued in SC
Practice address
1200 Two Island CT Unit E
Mt Pleasant, SC 29466-7418
Phone
(854) 444-7676
Fax
(854) 999-0549
NPI assigned
Dec 7, 2016
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 2642 SC Primary

Addresses

Primary practice location

1200 Two Island CT Unit E
Mt Pleasant, SC 29466-7418

Mailing address

1200 Two Island CT Unit E
Mt Pleasant, SC 29466-7418
Phone (854) 444-7676

Other identifiers 1

IdentifierTypeStateIssuer
3933PAMedicaidSC

Other names 1

  • Hayley Plant Former name

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
I20191203002906 SC Practitioner - Physician Assistant 3779869706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Two Island CT
Unit E
Mt Pleasant, SC 29466-7418
Phone (854) 444-7676

2500 Elms Ctr Rd
N Charleston, SC 29406-9844
Phone (843) 695-6071

2550 Elms Ctr Rd
North Charleston, SC 29406-9844
Phone (843) 695-6071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2642SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Aug 15, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Aug 15, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

1200 Two Island Ct
Unit E
Mt Pleasant, SC 29466
Phone (843) 849-1300

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

Interoperability endpoints

  • Direct secure messaging: hayley.bryan@ppcp1.eclinicaldirectplus.com

Organizations & group practices 6

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": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1962946137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 TWO ISLAND CT UNIT E",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667418",
            "telephone_number": "854-444-7676",
            "fax_number": "854-999-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 TWO ISLAND CT UNIT E",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667418",
            "telephone_number": "854-444-7676",
            "fax_number": "854-999-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "HAYLEY",
        "middle_name": "PLANT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3933PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "PLANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.