JUSTIN SWAIN PA-C
NPI 1417009499
Physician Assistant in Mt Pleasant, SC

Q: What is Justin Swain's NPI number?

The NPI number for Justin Swain is 1417009499. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Justin Swain'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 Justin Swain was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 18, 2007PECOS EnrolledAccepts Medicare Assignment

1625 HOSPITAL DR, MT PLEASANT, SC 29464(843) 849-1551(843) 884-0629 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2024, Mar 30, 2023 (2 updates tracked since 2023).

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About Justin Swain Pa-c NPPES

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

JUSTIN SWAIN PA-C (NPI 1417009499) is an individual physician assistant in Mt Pleasant, South Carolina, licensed in South Carolina (1064) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with East Cooper Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2003).

NPPES Registry Identity

NPI1417009499

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJUSTIN SWAINCredential: PA-C

Location Address1625 HOSPITAL DRMt Pleasant, SC 29464-3698

Mailing AddressPo Box 749340Atlanta, GA 30374-9340

Phone(843) 849-1551

Fax(843) 884-0629

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2003

Enumeration DateJanuary 18, 2007

Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration

NPPES CertifiedDecember 23, 2024

✔ NPI 1417009499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 1064

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1064 (SC)

1625 HOSPITAL DR, Mt Pleasant, SC 29464

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Justin Swain 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 ID2062436116

PECOS Enrollment IDI20060117000653

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

184 services132 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

70 services51 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

58 services39 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

53 services42 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

26 services24 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

24 services17 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

21 services21 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

19 services19 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

19 services19 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

18 services16 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

17 services17 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

17 services17 patients

Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc 22630

This procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.

14 services14 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number420089

Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier14 claims14 services$66.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RICHARD FRANCIS FRISCH JR. M.D.

Orthopaedic Surgery

1625 HOSPITAL DR
MT PLEASANT, SC 29464

Charleston County (843) 849-1551

DR. MICHAEL MOSIER MD

Physical Medicine & Rehabilitation

1625 HOSPITAL DR
MT PLEASANT, SC 29464

Charleston County (843) 849-1551

MR. BASSAM SHAMEL KASSAB D.P.T.

Physical Therapist

1625 HOSPITAL DR
MT PLEASANT, SC 29464

Charleston County (843) 849-1551

RYAN HARRISON NOBLES M.D.

Pain Medicine (Interventional Pain Medicine)

1625 HOSPITAL DR
MT PLEASANT, SC 29464

Charleston County (843) 849-1551

NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC

Pain Medicine (Interventional Pain Medicine)

1625 HOSPITAL DR
MT PLEASANT, SC 29464

Charleston County (843) 849-1551

SARA ELIZABETH HARBERT

Physical Therapy Assistant

1625 HOSPITAL DR
MOUNT PLEASANT, SC 29464

Charleston County (866) 774-6350

DR. THOMAS SHANNON ANDERSON MD

Neurological Surgery

1625 HOSPITAL DR
MT PLEASANT, SC 29464

Charleston County (843) 849-1551

DANIEL R BUTLER PA-C

Physician Assistant

1625 HOSPITAL DR
MT PLEASANT, SC 29464

Charleston County (843) 849-1551

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 Justin Swain's NPI number?

The NPI number for Justin Swain is 1417009499. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Justin Swain located?

Justin Swain practices at 1625 Hospital Dr, Mt Pleasant, SC 29464. The listed phone number is (843) 849-1551.

What is Justin Swain's specialty?

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

Is Justin Swain enrolled in Medicare?

Yes. Justin Swain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Swain accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Justin Swain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Swain affiliated with any hospitals?

According to CMS data, Justin Swain is affiliated with East Cooper Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Swain was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.