Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tayo E Haiyede-Shittu, DMSC, PA-C

Individual provider Physician Assistant · NPI 1962586354

Mrs. Tayo E Haiyede-Shittu, DMSC, PA-C is a Physician Assistant in Summerville, South Carolina. Qualified in 2021, 5 years ago. Practices with Palmetto Primary Care Physicians LLC, a 148-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and South Carolina.

Years since qualifying
5
Licensed in
NY, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5500 Frnt ST Ste 240
Summerville, SC 29486-8140
Phone: (843) 572-7727
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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 1765 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 011082 (NY)

Record details

NPI number1962586354
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMSC , PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

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 Palmetto Primary Care Physicians Llc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Summerville