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

Destiney Malpass, PA

Individual provider Surgical Physician Assistant · NPI 1023601853

Destiney Malpass, PA is a Physician Assistant in North Charleston, South Carolina. Qualified in 2020, 6 years ago. Practices with Trident Dermatology PA, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9295 Medical Plaza Dr Ste A-B
North Charleston, SC 29406-9137
Phone: (843) 797-3960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1023601853
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 12, 2021
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Trident Dermatology Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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