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

Tannis Jeanette Bolton, PA

Individual provider Physician Assistant · NPI 1629092861

Tannis Jeanette Bolton, PA is a Physician Assistant in Aiken, South Carolina. Qualified in 2003, 23 years ago. Practices with Center for Primary Care PC, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
23
Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

131 Rinehart Way
Aiken, SC 29803-1703
Phone: (803) 335-2200
Fax: (803) 649-7966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 Magnolia Way Ste 102, Augusta, GA 30909-9484 — (706) 992-6699

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4475 (SC)

Record details

NPI number1629092861
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Center For Primary Care Pc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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