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

Mary Braxton Patrick, PA

Individual provider Physician Assistant · NPI 1518636513

Mary Braxton Patrick, PA is a Physician Assistant in Orangeburg, South Carolina. Qualified in 2021, 5 years ago. Practices with Edisto Regional Health Services Inc, a 16-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
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

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone: (803) 533-2321
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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 4141 (SC)

Record details

NPI number1518636513
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Edisto Regional Health Services Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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