Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDRA NICOLE MYCOCK, PA-C
ActiveALEXANDRA NICOLE MYCOCK, PA-C is a Physician Assistant healthcare provider located in GREENVILLE, South Carolina. NPI 1679288534 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREENVILLE, SC
Registration Details
- NPI Number
- 1679288534
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2023 (3.5988364721269 yrs)
- Last Updated
- Jan 14, 2026
- Licenses
-
PA4805 (SC)4805 (SC)
Practice Information
- Address
-
890 W FARIS RD STE 100GREENVILLE, SC, 296054285Browse SC providers · Browse ZIP 29605
- Phone
- 8644552888
- Fax
- 8644552885
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GREENVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE POWERS KOOP | PA-C | 1598761082 |
| KATHRYN M. MCFADDEN | PA-C | 1528050101 |
| AUREL KEEW | PA | 1457334609 |
| SHEA C HARRELSON | PA | 1306822325 |
| ALLISON CHRISTY SIMON | PA | 1366428385 |
| KRISTI TOOTHMAN CARLSON | PA | 1265418297 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.