Individual provider · Type 1 NPI

Alexandra Nicole Mycock, PA-C

Physician Assistant · Greenville, SC

NPI number 1679288534 Active

Practice location

890 W Faris Rd Ste 100
Greenville, SC 29605-4285

Call (864) 455-2888 Map

Fax (864) 455-2885

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA4805 (SC)
Physician Assistant Primary 363A00000X4805 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679288534

Alexandra Nicole Mycock, PA-C's National Provider Identifier is 1679288534, issued on Jan 16, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenville, SC. The record was last updated on Jan 14, 2026.