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

Ethan Smallwood, PA

Individual provider Surgical Physician Assistant · NPI 1831899459

Ethan Smallwood, PA is a Physician Assistant in West Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2023, 3 years ago. Practices with Lexington Health Inc, a 903-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
3
Trained at
University of South Carolina School of Medicine
Licensed in
SD
In the registry since
2023
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

222 E Medical Ln Ste 101
West Columbia, SC 29169-4850
Phone: (803) 739-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4903 (SD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831899459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Lexington Health Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in West Columbia