MRS. TATIANA SIOBHAN HOOVER WALDON PA-C
NPI 1164285045
Physician Assistant in Summerville, SC

Q: What is Tatiana Waldon's NPI number?

The NPI number for Tatiana Waldon is 1164285045. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Q: What is Tatiana Waldon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tatiana Waldon was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since February 02, 2024PECOS EnrolledAccepts Medicare Assignment

2001 2ND AVE STE 201, SUMMERVILLE, SC 29486(843) 572-4840(843) 764-2726 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2024, Nov 16, 2024, Nov 6, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Mrs. Tatiana Siobhan Hoover Waldon Pa-c NPPES

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

MRS. TATIANA SIOBHAN HOOVER WALDON PA-C (NPI 1164285045) is an individual physician assistant in Summerville, South Carolina and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164285045

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. TATIANA SIOBHAN HOOVER WALDONCredential: PA-C

Location Address2001 2ND AVE STE 201Summerville, SC 29486-7887

Mailing Address2015 2nd Ave Ste 204Summerville, SC 29486-7889 · (843) 793-6980 · Fax (843) 764-2726

Phone(843) 572-4840

Fax(843) 764-2726

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 2, 2024

Last NPPES UpdateOctober 1, 20254 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1164285045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

2001 2ND AVE STE 201, Summerville, SC 29486

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Secondary Practice Locations 2

Location 11100 Johnnie Dodds Blvd Ste 220MT Pleasant, SC 29464-3131 · Phone (843) 572-4840 · Fax (843) 764-2726

Location 22291 Henry Tecklenburg DrCharleston, SC 29414-7801 · Phone (843) 572-4840 · Fax (843) 764-2726

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tatiana Siobhan Hoover Waldon Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789110719

PECOS Enrollment IDI20241213000268

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29486 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ELIZABETH BUTLER HARTJES PHARMD

Pharmacist