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ANNA KATHERYN FAIRFAX
NPI 1518594969
Radiology - Diagnostic Radiology in Charleston, SC

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425(843) 792-7179(843) 692-1122 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 5, 2023, Mar 25, 2020 (2 updates tracked since 2020).

About Anna Katheryn Fairfax NPPES

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

ANNA KATHERYN FAIRFAX (NPI 1518594969) is an individual diagnostic radiology provider in Charleston, South Carolina, licensed in South Carolina (LL84375) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Eastern Virginia Medical School (2020).

NPPES Registry Identity

NPI1518594969
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameANNA KATHERYN FAIRFAX
Location Address96 JONATHAN LUCAS STCharleston, SC 29425-4607
Mailing Address96 Jonathan Lucas St # 323Charleston, SC 29425-3230 · (843) 792-7179
Phone(843) 792-7179
Fax(843) 692-1122
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1518594969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SC · LL84375
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
96 JONATHAN LUCAS ST, Charleston, SC 29425
Open in Google Maps ↗

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

Anna Katheryn Fairfax 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 ID3375966914
PECOS Enrollment IDI20250605000257
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 5

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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.

TYLER MARIE SMITH PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (404) 277-6303
MUSC HOSPITAL
General Acute Care Hospital
96 JONATHAN LUCAS ST, SUITE 409
CHARLESTON, SC 29425
Charleston County (843) 792-5897
MS. JOANNA JOY WARD PA-C
Physician Assistant (Medical)
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-2300
MAYA HADAS WAHL PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-2867
DERLIS CHRISTIAN FLEITAS SOSA MD
Internal Medicine (Pulmonary Disease)
96 JONATHAN LUCAS ST, STE 816 CSB MSC 630
CHARLESTON, SC 29425
Charleston County (943) 792-3167
ANGELA JESSUP SHEALY PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. FAYE N HANT D.O.
Internal Medicine (Rheumatology)
96 JONATHAN LUCAS ST, SUITE 912 CSB
CHARLESTON, SC 29425
Charleston County (843) 792-3484
MONTHER SAUD AMER ALTITI MD
Surgery
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-3553

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 Anna Fairfax's NPI number?

The NPI number for Anna Fairfax is 1518594969. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Anna Fairfax located?

Anna Fairfax practices at 96 Jonathan Lucas St, Charleston, SC 29425. The listed phone number is (843) 792-7179.

What is Anna Fairfax's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Anna Fairfax enrolled in Medicare?

Yes. Anna Fairfax 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.

Is Anna Fairfax affiliated with any hospitals?

According to CMS data, Anna Fairfax is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Musc Health Columbia Medical Center Downtown, Musc Health Florence Medical Center and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Anna Fairfax was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.