ALISSA RODGERS DICKERSON PA-C
NPI 1104854181
Physician Assistant in Charleston, SC

Active since June 29, 2006
21 GAMECOCK AVE STE E, CHARLESTON, SC 29407(843) 763-9664(843) 763-2949 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alissa Rodgers Dickerson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA RODGERS DICKERSON PA-C (NPI 1104854181) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (A982) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104854181
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISSA RODGERS DICKERSONCredential: PA-C
Location Address21 GAMECOCK AVE STE ECharleston, SC 29407-3368
Mailing Address779 Condon DrCharleston, SC 29412-4703 · (843) 795-6366
Fax(843) 763-2949
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104854181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · A982
Definition
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.
21 GAMECOCK AVE STE E, Charleston, SC 29407

Other Identifiers 3

Medicare ID-Type UnspecifiedAA07707311
Medicare UPINQ35877
Medicaid0337PASC

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407
Clinic/Center (Mental Health (Including Community Mental Health Center))
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407
Social Worker (Clinical)
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407
Marriage & Family Therapist
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407
Counselor (Mental Health)
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407
Counselor (Professional)
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407
Counselor (Mental Health)
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407
Counselor
21 GAMECOCK AVE STE E
CHARLESTON, SC 29407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alissa Dickerson's NPI number?

The NPI number for Alissa Dickerson is 1104854181. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Alissa Dickerson located?

Alissa Dickerson practices at 21 Gamecock Ave Ste E, Charleston, SC 29407. The listed phone number is (843) 763-9664.

What is Alissa Dickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Alissa Dickerson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.