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

Mrs. Emma Grace Raidt

Individual provider Medical Physician Assistant · NPI 1710436647

Mrs. Emma Grace Raidt is a Physician Assistant in Charleston, South Carolina. Qualified in 2016, 10 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and South Carolina.

Years since qualifying
10
Licensed in
MD, SC
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 North Wolfe Street, Halstead 600, Baltimore, MD 21287 — (410) 502-2651

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2857 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0006234 (MD)

Record details

NPI number1710436647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESNovember 16, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Charleston