Active NPI
Kimberly A Kay, PA-C
- Surgical Physician Assistant
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA1230
- Practice address
- 2880 Tricom St
North Charleston, SC 29406-9171 - Phone
- (843) 797-5050
- Fax
- (843) 797-3633
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA1230 | SC | Primary |
Addresses
Primary practice location
2880 Tricom St
North Charleston, SC 29406-9171
Mailing address
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014PA | Medicaid | SC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080124000011 | SC | Practitioner - Physician Assistant | 7517049901 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arcis Healthcare LLC
Practice addresses (Care Compare)
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
Hospital & facility affiliations
- Trident Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1230 | SC | MD | Surgical Physician Assistant |
| 1230 | SC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcis Healthcare, LLC | Surgical | Current | Accepting new patients |
| Arcis Healthcare, LLC | Current | Accepting new patients | |
| Doctors Care, PA | Past | Accepting new patients |
Locations
1951 Clements Ferry Rd
Ste 100
Charleston, SC 29492
Phone (843) 797-5050
2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050
93 Springview Ln
Unit B
Summerville, SC 29485
Phone (843) 266-4883
130 E 3rd North St
Summerville, SC 29483
Phone (843) 797-5050
Interoperability endpoints
- kimberly.kay.1@7388.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- North Charleston, SC
- NPI 1902246077
SC, Surgical
-
- Durable Medical Equipment & Medical Supplies
- Ladson, SC
- NPI 1881406767
-
- Durable Medical Equipment & Medical Supplies
- Summerville, SC
- NPI 1144644725
-
- Durable Medical Equipment & Medical Supplies
- Summerville, SC
- NPI 1972927564
-
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1992129563
-
- Family Medicine Physician
- Columbia, SC
- NPI 1366499048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1043328008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "PA1230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.