ERIC STUART MATHIS AGACNP-BC NPI 1528700689

NPI Information

  • NPI: 1528700689
  • Provider Name: ERIC STUART MATHIS, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2093 HENRY TECKLENBURG DR STE 202E
    CHARLESTON, SC
    ZIP 29414
  • Phone: (843) 958-2590

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NPI Details

Eric Stuart Mathis, AGACNP-BC is an acute care nurse practitioner in Charleston, SC with 5 years of experience. Eric Stuart Mathis, AGACNP-BC NPI is 1528700689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2093 HENRY TECKLENBURG DR STE 202E
CHARLESTON, SC
ZIP 29414-783
Phone: (843) 958-2590
Fax: (843) 402-1972

The NPI 1528700689 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 4/10/2022 and was last updated on 5/13/2025.

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
1363LA2100XNurse PractitionerAcute Care26076SOUTH CAROLINAYes

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: 11/21/2025

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