Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Kelly Peterson, PA-C

Individual provider Physician Assistant · NPI 1861721391

Angela Kelly Peterson, PA-C is a Physician Assistant in North Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2000, 26 years ago. Practices with Premier Medical of SC LLC, a 6-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
26
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2009
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

8740 Rivers Ave
North Charleston, SC 29406
Phone: (843) 572-5990
Fax: (843) 552-4121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 642 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 642 (SC)

Record details

NPI number1861721391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2009
Last updated in NPPESAugust 28, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Premier Medical Of Sc Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Charleston