TERRI LYNN BLACKWELL (NPI# 1821340654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821340654 |
| Entity Type | Individual |
| Full Name | TERRI LYNN BLACKWELL |
| Credential | PA-C |
| Practice Address |
851 Leonard Fulghum Dr Ste 101 Mount Pleasant SC 29464-3793 |
| Mailing Address |
1300 Hospital Dr Ste 150 Mount Pleasant SC 29464-3243 |
| Practice Telephone | 8439719350 |
| Mailing Telephone | 8439719350 |
| Mailing Fax Number | 8439719351 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TL 1833 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Hospital Dr Ste 150, Mount Pleasant, SC 294643243 | 8439719350 | 8439719351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952335432 | Terri Blackwell | Psychiatry & Neurology | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2006-07-10 |
| Street Address |
851 LEONARD FULGHUM DR STE 101 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-3793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636345 | Mariah Jordan Mccallum | Orthopaedic Surgery | 851 Leonard Fulghum Dr Ste 101, Mount Pleasant, SC 29464-3793 | 2018-10-30 |
| 1720285539 | Eric William Angermeier | Orthopaedic Surgery | 851 Leonard Fulghum Dr Ste 101, Mount Pleasant, SC 29464-3793 | 2007-06-27 |
| 1356567747 | Amy C King | Clinical Nurse Specialist | 851 Leonard Fulghum Dr Ste 101, Mount Pleasant, SC 29464-3793 | 2007-04-17 |
| 1629101688 | Cameron Lee Olson | Physician Assistant | 851 Leonard Fulghum Dr Ste 101, Mount Pleasant, SC 29464-3793 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
| 1427677376 | John Swinton | Physician Assistant | 3434 Attley St, Mount Pleasant, SC 29466-6860 | 2020-04-10 |
| 1639717747 | Jessica Carolann Burt | Physician Assistant | 1300 Hospital Dr Ste 210, Mount Pleasant, SC 29464-3208 | 2019-12-19 |
| 1942855549 | Jessica Gunn Robinson | Physician Assistant | 804 Runaway Bay Ln Apt F, Mount Pleasant, SC 29464-2961 | 2019-08-09 |
| 1093283608 | Sida Bai | Physician Assistant | 1280 E Campus Dr Central Michigan University, Mount Pleasant, MI 48859-0001 | 2018-11-13 |
| 1548756299 | Michael John Wanner | Physician Assistant | 3811 Spring St # 102, Mount Pleasant, WI 53405-1667 | 2018-07-05 |
| 1629408968 | Alissa Marie Mcmahon | Physician Assistant | 1447 Windsor Way Unit 3, Mount Pleasant, WI 53406-2825 | 2013-11-23 |
| 1235415860 | Carrie Ann White | Physician Assistant | 2890 Health Pkwy, Mount Pleasant, MI 48858-6931 | 2011-10-27 |
| 1083247530 | Joshua Delarosa | Physician Assistant | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-02-12 |
| 1396377883 | Taylor Rae Root | Physician Assistant | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-02-12 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on TERRI LYNN BLACKWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.