MS. ELIZABETH LAUREN POWELL PA NPI 1740433440

NPI Information

NPI: 1740433440
Provider Name: MS. ELIZABETH LAUREN POWELL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3400 SALTERBECK CT
SUITE 100
MT PLEASANT, SC
ZIP 29466
Phone: (843) 971-3361
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MS. Elizabeth Lauren Powell, PA is a medical physician assistant in Mt Pleasant, SC with 16 years of experience. MS. Elizabeth Lauren Powell, PA NPI is 1740433440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

3400 SALTERBECK CT
SUITE 100
MT PLEASANT, SC
ZIP 29466-118
Phone: (843) 971-3361
Fax: (843) 971-8492

The NPI 1740433440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 5/22/2012.

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		LL1372	SOUTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	1372	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	AA33839223	MEDICARE PIN	SOUTH CAROLINA
2	0731PA	MEDICAID	SOUTH CAROLINA
3	P00813750	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE ID-RSFPN

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: 5/5/2024

NPI Synchronization or Removal

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