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  7. NPI Record 1497476980

HANNAH GRACE STEPHENSON PA-C
Complete NPI Record 1497476980
Physician Assistant in Columbia, SC

NPI Status: Active since September 05, 2022

Contact Information

2 MEDICAL PARK RD STE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-8800
Fax: (803) 434-8802

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Business Practice Location Address Fax Number
  20. Provider Enumeration Date
  21. Last Update Date
  22. Provider Gender Code
  23. Healthcare Provider Taxonomy Code 1
  24. Healthcare Provider Primary Taxonomy Switch 1
  25. Healthcare Provider Taxonomy Code 2
  26. Provider License Number 2
  27. Provider License Number State Code 2
  28. Healthcare Provider Primary Taxonomy Switch 2
  29. Is Sole Proprietor
  30. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1497476980. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1497476980
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Entity Type Code: 1
The name suffix of the provider if the provider is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Name: HANNAH
The first name of the provider, if the provider is an individual.
Provider Middle Name: GRACE
The middle name of the provider, if the provider is an individual.
Provider Credential Text: PA-C
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider First Line Business Mailing Address: 300 E MCBEE AVE FL 4
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address City Name: GREENVILLE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: SC
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 296012842
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8645228603
The city name in the location address of the provider being identified.
Provider First Line Business Practice Location Address: 2 MEDICAL PARK RD STE 300
The State code in the location of the provider being identified.
Provider Business Practice Location Address City Name: COLUMBIA
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: SC
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 292036839
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The fax number associated with the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8034348800
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Fax Number: 8034348802
The date that a record was last updated or changed.
Provider Enumeration Date: 9/5/2022
The code designating the provider’s gender if the provider is a person.
Last Update Date: 2/15/2023
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 390200000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Taxonomy Code 2: 363A00000X
Provider License Number 2: 4744
Provider License Number State Code 2: SC
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: Y
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 2/15/2023