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

Nicholas Thomas Sisofo IV, PA

Individual provider Physician Assistant · NPI 1700544103

Nicholas Thomas Sisofo IV, PA is a Physician Assistant in Summerville, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

709 Old Trolley Rd
Summerville, SC 29485-5203
Phone: (843) 900-6767
Fax: (843) 285-5916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700544103
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Other providers in Summerville