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

Penny Leigh Perez

Individual provider Nurse Practitioner · NPI 1073147807

Penny Leigh Perez is a Nurse Practitioner in Charleston, South Carolina. Graduated from University of South Carolina School of Medicine in 2020, 6 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-4001
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 23992 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073147807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2020 (6 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

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