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

Michael B Carothers, PA

Individual provider Medical Physician Assistant · NPI 1063797447

Michael B Carothers, PA is a Medical Physician Assistant in Summerville, South Carolina. Licensed in Pennsylvania and South Carolina. Registered with an NPI since 2011.

Licensed in
PA, SC
In the registry since
2011
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

104 Terrapin Cir
Summerville, SC 29486-8273
Phone: (843) 475-4392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1922 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA055229 (PA)

Record details

NPI number1063797447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

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