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

Individual provider Physician Assistant · NPI 1831520782

Benjamin Addy, PA-C is a Physician Assistant in West Columbia, South Carolina. Qualified in 2013, 13 years ago. Practices with Advanced Dermatology of SC PC, a 34-clinician group and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
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

3574 Sunset Blvd
West Columbia, SC 29169-3044
Phone: (803) 796-2500
Fax: (803) 796-4378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1831520782
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2013
Last updated in NPPESApril 15, 2014
Mailing address3574 Sunset Blvd, West Columbia, SC 29169-3044

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advanced Dermatology Of Sc Pc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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