Individual provider Active NPI

Kevin Allen Ard, P.A.

  • Physician Assistant
  • Aiken, SC
National Provider Identifier
1023078011
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1568 Issued in SC
Practice address
830 Laurens St
Aiken, SC 29801-3416
Phone
(803) 641-8000
NPI assigned
Mar 24, 2006
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000193 SC Practitioner - Physician Assistant 7517148836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
625SCMDDiagnostic Radiology Physician
PA1568SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Aug 15, 2021 Accepting new patients

Locations

830 Laurens St NW
Aiken, SC 29801
Phone (803) 649-6262

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.