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

Individual provider Physician Assistant · NPI 1982615795

Jeffrey Eric Hathway, PA is a Physician Assistant in Conway, South Carolina. Qualified in 2006, 20 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
20
Licensed in
SC
In the registry since
2006
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

128 Professional Park Dr
Conway, SC 29526-9260
Phone: (617) 959-4427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1297 Professional Dr Ste 201, Myrtle Beach, SC 29577-5713 — (617) 959-4427

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3961 (SC)

Record details

NPI number1982615795
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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