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

Mr. Eugene Ancrum II, PA

Individual provider Medical Physician Assistant · NPI 1043694334

Mr. Eugene Ancrum II, PA is a Physician Assistant in North Charleston, South Carolina. Qualified in 2015, 11 years ago. Practices with Medcare Express - North Charleston LLC, a 69-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2015
Specialties on file
3
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

8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone: (843) 789-1620
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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 2439 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2439 (SC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1043694334
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address8720 Dorchester Rd, North Charleston, SC 29420-7303

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Medcare Express - North Charleston Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in North Charleston