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

Michael Chad Atchley Sr., PA

Individual provider Physician Assistant · NPI 1104092204

Michael Chad Atchley Sr., PA is a Physician Assistant in West Columbia, South Carolina. Qualified in 2008, 18 years ago. Practices with Trident Pain Center LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
18
In the registry since
2008
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

176 McSwain Dr
West Columbia, SC 29169-4825
Phone: (843) 797-3636
Fax: (843) 797-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Highland Center Dr, Columbia, SC 29203-9127 — (843) 797-3636

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104092204
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 8, 2008
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address9267 Medical Plaza Dr, N Charleston, SC 29406-9139

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Trident Pain Center Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Columbia