MRS. MEGAN WILDEROTTER ACKERSON PA-C NPI 1942614607

NPI Information

NPI: 1942614607
Provider Name: MRS. MEGAN WILDEROTTER ACKERSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
120 GATEWAY CORPORATE BLVD
EMERGENCY DEPARTMENT
COLUMBIA, SC
ZIP 29203
Phone: (803) 256-5300
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MRS. Megan Wilderotter Ackerson, PA-C is a medical physician assistant in Columbia, SC. MRS. Megan Wilderotter Ackerson, PA-C NPI is 1942614607. 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:

120 GATEWAY CORPORATE BLVD
EMERGENCY DEPARTMENT
COLUMBIA, SC
ZIP 29203-611
Phone: (803) 256-5300

The NPI 1942614607 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 6/19/2014 and was last updated on 4/20/2021.

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		307587	LOUISIANA	No
2	363AM0700X	Physician Assistant	Medical	307587	LOUISIANA	Yes
3	363AM0700X	Physician Assistant	Medical	PA2122	SOUTH CAROLINA	No

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: 11/14/2023

NPI Synchronization or Removal

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