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

Individual provider Physician Assistant · NPI 1821340654

Terri Lynn Blackwell, PA-C is a Physician Assistant in Mount Pleasant, South Carolina. Qualified in 2012, 14 years ago. Practices with East Cooper Physician Group LLC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2012
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

851 Leonard Fulghum Dr Ste 101
Mount Pleasant, SC 29464-3793
Phone: (843) 971-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Hospital Dr Ste 150, Mount Pleasant, SC 29464-3243 — (843) 971-9350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TL 1833 (SC)

Record details

NPI number1821340654
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2012
Last updated in NPPESJune 12, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice East Cooper Physician Group Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mount Pleasant