LEDY P CHESTNUT PA-C NPI 1629332911

NPI Information

  • NPI: 1629332911
  • Provider Name: LEDY P CHESTNUT, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 945 82ND PKWY
    MYRTLE BEACH, SC
    ZIP 29572
  • Phone: (843) 497-5929

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NPI Details

Ledy P Chestnut, PA-C is a physician assistant in Myrtle Beach, SC with 14 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Ledy P Chestnut, PA-C NPI is 1629332911. 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:

945 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572-612
Phone: (843) 497-5929
Fax: (866) 778-9068

The NPI 1629332911 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Vitamin d-3 level (HCPCS:82306)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Urinalysis, manual test (HCPCS:81002)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Hepatitis c antibody screening, for individual at high risk and other covered indication(s) (HCPCS:G0472)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Magnesium level (HCPCS:83735)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 7/2/2012 and was last updated on 7/28/2023.

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
1363AM0700XPhysician AssistantMedical2295SOUTH CAROLINANo
2363A00000XPhysician Assistant2295SOUTH CAROLINAYes

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
12102PAMEDICAIDSOUTH 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: 11/21/2025

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