Active NPI
Kevin Allen Ard, P.A.
- Physician Assistant
- Aiken, SC
National Provider Identifier
1023078011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1568
- Practice address
- 830 Laurens St
Aiken, SC 29801-3416 - Phone
- (803) 641-8000
- NPI assigned
- Mar 24, 2006
- Last updated
- Feb 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1568 | SC | Primary |
| Athletic Trainer | 2255A2300X | 625 | SC |
Addresses
Primary practice location
830 Laurens St
Aiken, SC 29801-3416
Mailing address
830 Laurens St
Aiken, SC 29801-3416
Phone (706) 595-7652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625 | SC | MD | Diagnostic Radiology Physician |
| PA1568 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth - Aiken, LLC | Current | Accepting new patients | |
| Nathan H. Brandon, MD, LLC | Past | Accepting new patients | |
| Pruitthealth Pharmacy Services, Inc. | Past | Accepting new patients | |
| Augusta Orthopedic & Sports Medicine Specialists PC | Past | Accepting new patients |
Locations
830 Laurens St NW
Aiken, SC 29801
Phone (803) 649-6262
Interoperability endpoints
- kevin.ard.1@18348.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PruittHealth Physicians Services
- Internal Medicine Physician
- Norcross, GA
- NPI 1043676299
SC
-
dba PruittHealth - Aiken
- Skilled Nursing Facility
- Aiken, SC
- NPI 1679786917
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1952076382
-
dba PruittHealth Pharmacy Services - Lexington
- Long Term Care Pharmacy
- Lexington, SC
- NPI 1841237245
-
- Interventional Pain Medicine Physician
- Evans, GA
- NPI 1023035003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1023078011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 LAURENS ST",
"city": "AIKEN",
"state": "SC",
"postal_code": "298013416",
"telephone_number": "706-595-7652",
"fax_number": "706-564-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 LAURENS ST",
"city": "AIKEN",
"state": "SC",
"postal_code": "298013416",
"telephone_number": "803-641-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARD",
"first_name": "KEVIN",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "PA1568",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "625",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.