1. Home
  2. Directory
  3. South Carolina
  4. Beaufort
  5. Physician Assistant
  6. NPI Profile

ANDREW JOHN STAG
NPI 1639868680
Physician Assistant - Medical in Beaufort, SC

Active since May 04, 2023
1 PINCKNEY BLVD, BEAUFORT, SC 29902(843) 228-5600 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Dec 15, 2023, May 4, 2023 (3 updates tracked since 2023).

About Andrew John Stag NPPES

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

ANDREW JOHN STAG (NPI 1639868680) is an individual medical provider in Beaufort, South Carolina, licensed in South Carolina (5201) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1639868680
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameANDREW JOHN STAG
Location Address1 PINCKNEY BLVDBeaufort, SC 29902-6122
Mailing Address1 Pinckney BlvdBeaufort, SC 29902-6122 · (843) 228-5600
Phone(843) 228-5600
Sole ProprietorYes
Enumeration DateMay 4, 2023
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1639868680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 5201
1 PINCKNEY BLVD, Beaufort, SC 29902
Open in Google Maps ↗

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.

SUSAN HEIM
Specialist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5232
JESSIE C SANTIAGO JR. PA C
Physician Assistant (Medical)
1 PINCKNEY BLVD, ATTN PROFESSIONAL AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JEREMY ROBERT GIES D.M.D.
Dentist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-3500
RAYMOND CROSS PT DPT
Physical Therapist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-1318
MICHAEL JAMES DAVIDSON RN
Nurse Anesthetist, Certified Registered
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5994
DOUGLAS ROGER GILLETT DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
KURT JOHN BREILING DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JOHN SCOTT DONOUGHE DO
Orthopaedic Surgery
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5455

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 Andrew Stag's NPI number?

The NPI number for Andrew Stag is 1639868680. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Andrew Stag located?

Andrew Stag practices at 1 Pinckney Blvd, Beaufort, SC 29902. The listed phone number is (843) 228-5600.

What is Andrew Stag's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Andrew Stag was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.