AMY STANTON REAVES PA-C NPI 1447435615

NPI Information

NPI: 1447435615
Provider Name: AMY STANTON REAVES, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2880 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 797-5050
Get Directions

Amy Stanton Reaves, PA-C is a surgical physician assistant in North Charleston, SC. Amy Stanton Reaves, PA-C NPI is 1447435615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2880 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406-171
Phone: (843) 797-5050
Fax: (843) 797-3633

The NPI 1447435615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 7/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		1285	SOUTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	1285	SOUTH CAROLINA	No
3	363AS0400X	Physician Assistant	Surgical	1285	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2864256	OTHER	SOUTH CAROLINA	UNITED HEALTHCARE MPIN NO.
2	AA2687D043	MEDICARE PIN	SOUTH CAROLINA
3	1902246077	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP NPI NO.
4	P01337502	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE PTAN
5	13347593	OTHER	SOUTH CAROLINA	MULTIPLAN PROVIDER NO.
6	4920537	OTHER	SOUTH CAROLINA	AETNA PIN NO.
7	983747	OTHER	SOUTH CAROLINA	WELLCARE PROVIDER ID NO.
8	0631PA	MEDICAID	SOUTH CAROLINA
9	DU4331	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN
10	46-2535418	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP TIN
11	GP6337	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP MEDICAID LEGACY NO.
12	D043	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE GROUP MEDICARE PTAN
13	45168	OTHER	SOUTH CAROLINA	ARCIS HEALTHCARE MULTIPLAN GROUP NO.
14	AA26871701	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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