Ashley P Theobald, PA-C is a medicare enrolled "Physician Assistant" provider in Greenville, South Carolina. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Foothills Ent Inc and her current practice location is
2 Roper Corners Cir, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 234-7815.
Ashley P Theobald is licensed to practice in South Carolina (license number 4280) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780086488.
Healthcare Provider's Profile
| Full Name | Ashley P Theobald |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 2 Roper Corners Cir, Greenville, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ashley P Theobald graduated from medical school in 2021
NPI Data:
- NPI Number: 1780086488
- Provider Enumeration Date: 09/24/2014
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587908405
- Enrollment ID: I20220502000134
Medical Identifiers
Medical identifiers for Ashley P Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780086488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 10184 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 4280 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Foothills Ent Inc | 4385958370 | 6 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley P Theobald is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ashley P Theobald, PA-C
8 Tyler St,
Greenville, SC 29605-2044
Ph: (346) 954-9273 | Ashley P Theobald, PA-C
2 Roper Corners Cir,
Greenville, SC 29615-4833
Ph: (864) 234-7815 |
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