Mirakle Avery
Physician Assistant · Columbia, SC
Mirakle Avery is a physician assistant with a practice address in Columbia, South Carolina, and NPI 1013772391, issued on Feb 16, 2024. Check the license (South Carolina 6095, as entered in NPPES) with the South Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mirakle Avery
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 6095 SC
Self-reported in NPPES; status is on the state search - Practice location
- 2611 Forest Dr Ste 200, Columbia, SC 29204
- Phone
- (803) 799-3263
- Enumerated
- Feb 16, 2024
- Record last updated
- Jan 15, 2026
- Medicare enrollment
- Enrolled (PECOS I20260324000740); accepts Medicare assignment
- Medical or professional school
- Medical University Of South Carolina College Of Medicine, 2025
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,294 in South Carolina → Look up another NPI →
Also registered at 2611 Forest Dr Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alexandra AndersonPhysician Assistant1467171207
- Troy Blanks, PAPhysician Assistant1457389363
- Mark Davis, PA-CPhysician Assistant1073586186
- Mariana Jeong, PA-CPhysician Assistant1295481356
- Ayesha McCormick, AGNP-CGerontology Nurse Practitioner1215644489
- Sydnie Pye, PAPhysician Assistant1972291490
Verify Mirakle Avery in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 6095Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mirakle Avery among 2,294 physician assistant records in South Carolina
Mirakle Avery is one of 2,294 physician assistant records with a practice address in South Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 83% of them.
- NPI issued2024 · 83% of these records are older, 9% newer
- In a Medicare fileNo · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2025 · median 2019 among the 1,516 with a school on file
- Record last updated2026 · 31% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
247 physician assistant records list a practice address in Columbia
They are 247 of the 11,200 NPPES records with a practice address in Columbia, and 2,294 physician assistant records in South Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,294 in South Carolina → Every provider in Columbia → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Chelsea Baker, PAColumbia, SC 292041073982195
- Matthew Beauregard, PA-CColumbia, SC 292041881265460
- Troy Blanks, PAColumbia, SC 292041457389363
- Mark Davis, PA-CColumbia, SC 292041073586186
- Ashley Dyson, PA-CColumbia, SC 292041346498185
- Mariana Jeong, PA-CColumbia, SC 292041295481356
- Kathleen Keiner, PAColumbia, SC 292041285239426
- April McNeill, PHYSICIAN'S ASSISTANColumbia, SC 292041952375347
Common questions
What is Mirakle Avery's NPI number?
Mirakle Avery's National Provider Identifier (NPI) is 1013772391, issued on Feb 16, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Mirakle Avery located?
The NPPES record lists a practice address at 2611 Forest Dr Ste 200, Columbia, SC, 29204. Phone: (803) 799-3263. Providers update this record themselves, so call before visiting.
How can I verify Mirakle Avery's license?
NPPES lists South Carolina license number 6095, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.