MR. JAMES JOSEPH PAVAO PA-C
NPI 1952490013
Physician Assistant - Surgical in Charleston, SC

Active since October 12, 2006
2145 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 723-8823 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. James Joseph Pavao Pa-c NPPES

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

MR. JAMES JOSEPH PAVAO PA-C (NPI 1952490013) is an individual surgical provider in Charleston, South Carolina, licensed in South Carolina (1325) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1952490013
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JAMES JOSEPH PAVAOCredential: PA-C
Location Address2145 HENRY TECKLENBURG DRCharleston, SC 29414-5893
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateOctober 20, 2015
NPI 1952490013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in SC · 1325 Licensed in MA · 1582
2145 HENRY TECKLENBURG DR, Charleston, SC 29414

Other Identifiers 10

Medicare PINAA30289223SC
OtherGP5004SC · Medicaid Group #
OtherGP5005SC · Medicaid Group #
OtherGP5006SC · Medicaid Group #
OtherP00648630SC · Railroad Medicare Id
Medicare PINAA30285551SC
OtherGP5007SC · Medicaid Group #
Other5551SC · Medicare Group #
OtherGP5072SC · Medicaid Group #
Medicaid0733PASC

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.

Radiology (Body Imaging)
2145 HENRY TECKLENBURG DR, SUITE 120
CHARLESTON, SC 29414
Obstetrics & Gynecology
2145 HENRY TECKLENBURG DR, SUITE 270
CHARLESTON, SC 29414
Neurological Surgery
2145 HENRY TECKLENBURG DR, SUITE 220
CHARLESTON, SC 29414
Specialist/Technologist (Athletic Trainer)
2145 HENRY TECKLENBURG DR, SUITE 220
CHARLESTON, SC 29414
Pain Medicine (Pain Medicine)
2145 HENRY TECKLENBURG DR, SUITE 220W
CHARLESTON, SC 29414
Specialist
2145 HENRY TECKLENBURG DR, SUITE 270
CHARLESTON, SC 29414
Radiology (Body Imaging)
2145 HENRY TECKLENBURG DR, SUITE 150
CHARLESTON, SC 29414
Neurological Surgery
2145 HENRY TECKLENBURG DR, STE 220
CHARLESTON, SC 29414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952490013, enumerated as an "individual" on October 12, 2006.

The provider is located at 2145 HENRY TECKLENBURG DR CHARLESTON, SC 29414 and the phone number is (843) 723-8823.

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

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.