CHERYL WILLIS MIDDLETON PA-C
NPI 1932295912
Physician Assistant - Medical in Easley, SC
NPI Status: Active since October 05, 2006
Contact Information
838 POWDERSVILLE RD
SUITE G
EASLEY, SC
ZIP 29642
Phone: (864) 850-9988
Fax: (864) 850-9989
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
- Opted-Out Medicare
About CHERYL MIDDLETON
This page provides the complete NPI Profile along with additional information for Cheryl Middleton, a primary care provider established in Easley, South Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1932295912 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X with license number A385 (SC). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1932295912
- Provider Name
- CHERYL WILLIS MIDDLETON PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 838 POWDERSVILLE RD SUITE G EASLEY, SC 29642
- Location Phone
- (864) 850-9988
- Location Fax
- (864) 850-9989
- Mailing Address
- 838 POWDERSVILLE RD SUITE G EASLEY, SC 29642
- Mailing Phone
- (864) 850-9988
- Mailing Fax
- (864) 850-9989
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Cheryl Middleton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Cheryl Middleton opted out of Medicare effective on 07-20-2015 until 07-20-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- A385
- License State
- SC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
A385 | OTHER (01) | SC | STATE LICENSE |
S43960 | MEDICARE UPIN (02) | SC |
Medicare Participation & PECOS Enrollment Status
Cheryl Middleton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-20-2015
Opt-Out End Date: 07-20-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF003N)
Addition to lower extremity, test socket, below knee (HCPCS:L5620)
3 DME suppliers used 11 Medicare Claims 16 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee, acrylic socket (HCPCS:L5629)
3 DME suppliers used 12 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee, total contact (HCPCS:L5637)
3 DME suppliers used 12 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert (HCPCS:L5671)
3 DME suppliers used 13 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism (HCPCS:L5673)
3 DME suppliers used 14 Medicare Claims 27 Services Paid
DME-Orthotic Devices (DF003N)
Addition, endoskeletal system, below knee, alignable system (HCPCS:L5910)
3 DME suppliers used 12 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) (HCPCS:L5940)
3 DME suppliers used 11 Medicare Claims 12 Services Paid
DME-Orthotic Devices (DF003N)
Prosthetic sock, multiple ply, below knee, each (HCPCS:L8420)
3 DME suppliers used 12 Medicare Claims 156 Services Paid
DME-Orthotic Devices (DF000N)
Prosthetic sock, single ply, fitting, below knee, each (HCPCS:L8470)
3 DME suppliers used 12 Medicare Claims 148 Services Paid
Reviews for CHERYL WILLIS MIDDLETON PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 3 | 2 | 2 | 9 | 5 | 9 | 1 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 6 | 2 | 4 | 9 | 10 | 9 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 6 + 2 + 4 + 9 + 1 + 0 + 9 + 2 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1932295912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1366548125 | DR. DAVID A. WATERS D.M.D. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 838 POWDERSVILLE RD SUITE E EASLEY, SC 29642 (864) 855-6360 |
1679787618 | THE UPSTATE CLINIC OF SPECIFIC CHIR Organization | Chiropractor | 838 POWDERSVILLE RD SUITE R EASLEY, SC 29642 (864) 855-3255 |
1871783845 | LIVINGWELL INTEGRATIVE HEALTHCARE Organization | Clinic/Center (Medical Specialty) | 838 POWDERSVILLE RD SUITE G EASLEY, SC 29642 (864) 855-9988 |
1548595648 | DR. JAIME FISHER BROWNING D.C. Individual | Chiropractor | 838 POWDERSVILLE RD SUITE R EASLEY, SC 29642 (864) 855-3255 |
1275908352 | CLEMSON SPORTS MEDICINE AND REHABILITATION INC Organization | Rehabilitation Unit | 838 POWDERSVILLE RD SUITE T EASLEY, SC 29642 (864) 671-1650 |
1710413620 | THRIVE CHIROPRACTIC OF EASLEY LLC Organization | Chiropractor | 838 POWDERSVILLE RD SUITE E EASLEY, SC 29642 (864) 442-5842 |
1578065165 | ELEVATE AUDIOLOGY LLC Organization | Audiologist | 838 POWDERSVILLE RD EASLEY, SC 29642 (864) 442-5555 |
1134170764 | MEDICAL CENTER INC. OF PICKENS Organization | Pharmacy (Community/Retail Pharmacy) | 838 POWDERSVILLE RD SUITE D EASLEY, SC 29642 (864) 855-2323 |
1528572484 | GREENVILLE PROAXIS THERAPY LLC Organization | Durable Medical Equipment & Medical Supplies | 838 POWDERSVILLE RD EASLEY, SC 29642 (864) 671-1650 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932295912, enumerated in the NPI registry as an "individual" on October 05, 2006
The provider is located at 838 Powdersville Rd Suite G Easley, Sc 29642 and the phone number is (864) 850-9988
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
No, the provider signed an affidavit on July 20, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 20, 2025.
This NPI record was last updated on October 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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