SKYLER ALEXIS FOUNTAINE PA-C
NPI 1932954153
Physician Assistant in Walterboro, SC

Q: What is Skyler Fountaine's NPI number?

The NPI number for Skyler Fountaine is 1932954153. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Skyler Fountaine'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 Skyler Fountaine was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 April 22, 2024PECOS EnrolledAccepts Medicare Assignment

830 ROBERTSON BLVD, WALTERBORO, SC 29488(843) 781-7428(843) 781-7429 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Apr 22, 2024 (2 updates tracked since 2024).

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About Skyler Alexis Fountaine Pa-c NPPES

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

SKYLER ALEXIS FOUNTAINE PA-C (NPI 1932954153) is an individual physician assistant in Walterboro, South Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Colleton Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1932954153

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSKYLER ALEXIS FOUNTAINECredential: PA-C

Location Address830 ROBERTSON BLVDWalterboro, SC 29488-3081

Mailing Address8906 Two Notch RdColumbia, SC 29223-6366 · (803) 254-3676 · Fax (803) 254-3678

Phone(843) 781-7428

Fax(843) 781-7429

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 22, 2024

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1932954153 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.

830 ROBERTSON BLVD, Walterboro, SC 29488

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Other Identifiers 1

Medicaid7106PASC

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

Skyler Alexis Fountaine 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 ID3870026008

PECOS Enrollment IDI20241028000344

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

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

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420030

Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29488 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESIS HEALTHCARE, INC.

Dentist (General Practice)