MARY NICHOLS LOLLIS PA-C
NPI 1821888546
Physician Assistant in Charleston, SC

Active since May 07, 2025PECOS EnrolledAccepts Medicare Assignment
1033 SAINT ANDREWS BLVD, CHARLESTON, SC 29407(843) 723-6111(843) 727-2973 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2025, May 12, 2025, May 7, 2025 (3 updates tracked since 2025).

About Mary Nichols Lollis Pa-c NPPES

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

MARY NICHOLS LOLLIS PA-C (NPI 1821888546) is an individual physician assistant in Charleston, South Carolina and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821888546
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY NICHOLS LOLLISCredential: PA-C
Location Address1033 SAINT ANDREWS BLVDCharleston, SC 29407-7156
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2440
Fax(843) 727-2973
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 7, 2025
Last NPPES UpdateOctober 22, 20253 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1821888546 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.

1033 SAINT ANDREWS BLVD, Charleston, SC 29407

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

Mary Nichols Lollis 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 ID7911497367
PECOS Enrollment IDI20251105002130
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 4

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 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.

Internal Medicine (Cardiovascular Disease)
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407
Internal Medicine (Interventional Cardiology)
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407
Physician Assistant (Medical)
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407
Physician Assistant
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407
Internal Medicine (Cardiovascular Disease)
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407
Physician Assistant
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407
Physician Assistant
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407
Internal Medicine (Clinical Cardiac Electrophysiology)
1033 SAINT ANDREWS BLVD
CHARLESTON, SC 29407

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 Mary Nichols Lollis's NPI number?

The NPI number for Mary Nichols Lollis is 1821888546. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Mary Nichols Lollis located?

Mary Nichols Lollis practices at 1033 Saint Andrews Blvd, Charleston, SC 29407. The listed phone number is (843) 723-6111.

What is Mary Nichols Lollis's specialty?

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

Is Mary Nichols Lollis enrolled in Medicare?

Yes. Mary Nichols Lollis 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 Mary Nichols Lollis affiliated with any hospitals?

According to CMS data, Mary Nichols Lollis is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Mary Nichols Lollis was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.