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

Individual provider Physician Assistant · NPI 1457239451

Emily Medeiros, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2025, 1 year ago. Practices with Broad River Physicians Group, LLC, a 66-clinician group and accepts Medicare assignment. Licensed in California and South Carolina.

Years since qualifying
1
Licensed in
CA, SC
In the registry since
2025
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

316 Calhoun St
Charleston, SC 29401-1113
Phone: (843) 724-2010
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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 6162 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 66904 (CA)

Record details

NPI number1457239451
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 26, 2025
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Broad River Physicians Group, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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