Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Staci Ernandez Polk, PA-C

Individual provider Physician Assistant · NPI 1245861236

Staci Ernandez Polk, PA-C is a Physician Assistant in Lancaster, South Carolina. Qualified in 2019, 7 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2020
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

834 W Meeting St Ste E
Lancaster, SC 29720-6220
Phone: (803) 285-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2753 Fire Tower Rd, Rock Hill, SC 29730-9008 — (803) 209-0945

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3508 (SC)

Record details

NPI number1245861236
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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