Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ammon Waddell, PA-C

Individual provider Physician Assistant · NPI 1780114348

Ammon Waddell, PA-C is a Physician Assistant in Summerville, South Carolina. Qualified in 2017, 9 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in South Carolina and Utah.

Years since qualifying
9
Licensed in
SC, UT
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

602 N Main St
Summerville, SC 29483-6627
Phone: (843) 881-4440
Fax: (843) 225-0110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1814 Crowne Commons Way, Johns Island, SC 29455-4932 — (843) 881-4440
  • 612 Seacoast Pkwy, Mt Pleasant, SC 29464-8247 — (843) 881-4440
  • 14490 Ocean Hwy, Pawleys Island, SC 29585-4821 — (843) 881-4440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4778 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 10420324-1206 (UT)

Record details

NPI number1780114348
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Summerville