HALEY TIEDEMANN PA-C
NPI 1568317329
Physician Assistant - Surgical in Columbia, SC

NPI Status: Active since February 26, 2026

Contact Information

14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-8450
Fax: (803) 434-0137

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  • Individual
  • Female
  • Years of Experience 1
  • Physician Assistant
  • Surgical
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About HALEY TIEDEMANN

This page provides the complete NPI Profile along with additional information for Haley Tiedemann, a provider established in Columbia, South Carolina with a medical specialization in Physician Assistant, focusing in surgical and more than one year of experience. The healthcare provider is registered in the NPI registry with number 1568317329 assigned on February 2026. The practitioner's primary taxonomy code is 363AS0400X with license number 6264 (SC). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1568317329
Provider Name
HALEY TIEDEMANN PA-C
Gender
Female
Entity Type
Individual
Location Address
14 RICHLAND MEDICAL PARK DR STE 310 COLUMBIA, SC 29203
Location Phone
(803) 434-8450
Location Fax
(803) 434-0137
Mailing Address
300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
Mailing Phone
(864) 695-6697
Medical School Name
OTHER
Graduation Year
2025
Is Sole Proprietor?
No
Enumeration Date
02-26-2026
Last Update Date
05-28-2026
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Location Map

Secondary Locations

  • 114 College Ave
    Ashland, VA 23005
    (804) 752-8878

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 Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
6264
License State
SC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

6264 (SC)

Medicare Participation & PECOS Enrollment Status

Haley Tiedemann is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Haley Tiedemann 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

  • PECOS PAC ID: 1456827880

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20260414002142

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Reviews for HALEY TIEDEMANN PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568317329, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 3 → 6 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 6 + 1 + 1 + 4 + 3 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568317329.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

General Acute Care Hospital (Children)
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Pediatrics
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Pediatrics
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Pediatrics
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Dietitian, Registered
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Pediatrics (Pediatric Gastroenterology)
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Pediatrics (Pediatric Gastroenterology)
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Dietitian, Registered
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Pediatrics (Pediatric Gastroenterology)
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Pediatrics (Pediatric Gastroenterology)
14 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568317329, enumerated as an "individual" on February 26, 2026.

The provider is located at 14 RICHLAND MEDICAL PARK DR STE 310 COLUMBIA, SC 29203 and the phone number is (803) 434-8450.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.