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

Individual provider Medical Physician Assistant · NPI 1972369528

Ingrid Llanes, PHYSICIANASSISTANT is a Physician Assistant in Clinton, South Carolina. Qualified in 2022, 4 years ago. Practices with Bon Secours Ambulatory Services - St Francis, LLC, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2024
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Practice location Address checks out

101 Jacobs Hwy
Clinton, SC 29325-7276
Phone: (334) 560-3517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1667 E Main St, Duncan, SC 29334-9217 — (864) 485-2610

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5203 (SC)

Record details

NPI number1972369528
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 22, 2024
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing addressPo Box 34, Clinton, SC 29325-0034

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bon Secours Ambulatory Services - St. Francis, Llc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clinton