Individual provider Active NPI

Kimberly Stites, CNM

  • Advanced Practice Midwife
  • Columbia, SC
National Provider Identifier
1104293992
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
24270 Issued in SC
Practice address
2 Medical Park Rd Ste 107
Columbia, SC 29203-6839
Phone
(803) 434-4480
Fax
(803) 434-3340
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 576 NC
Advanced Practice Midwife 367A00000X 24270 SC Primary

Addresses

Primary practice location

2 Medical Park Rd Ste 107
Columbia, SC 29203-6839

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6164

Other identifiers 2

IdentifierTypeStateIssuer
Q693893365OtherSCMEDICARE PIN
MW0282MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kstites219637@direct-srhs.et0939.epichosted.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027000297 SC Practitioner - Certified Nurse Midwife (CNM) 6204136344 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
576NCMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince May 12, 2025 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince May 12, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Obhg North Carolina, P.C. Past Accepting new patients

Locations

3941 Highway 9
#A
Boiling Springs, SC 29316
Phone (864) 278-1400

2 Medical Park Rd
Ste 107
Columbia, SC 29203
Phone (803) 434-4480

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2801 Woodruff Rd
Ste 201
Simpsonville, SC 29681
Phone (864) 849-3466

2995 Reidville Rd
Ste 290
Spartanburg, SC 29301
Phone (864) 574-4483

853 N Church St
Ste 600
Spartanburg, SC 29303
Phone (864) 583-4556

1686 Skylyn Dr
Ste 101
Spartanburg, SC 29307
Phone (864) 560-3456

475 Heywood Ave
Spartanburg, SC 29307
Phone (864) 699-5020

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

250 North Grove Medical Park Dr
Spartanburg, SC 29303
Phone (864) 208-2345

Interoperability endpoints

  • Direct secure messaging: kstites850324@direct.ghs.myhfn.org

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1104293992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD STE 107",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036839",
            "telephone_number": "803-434-4480",
            "fax_number": "803-434-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6164",
            "fax_number": "864-560-7092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STITES",
        "first_name": "KIMBERLY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "576",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "24270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "Q693893365",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MW0282",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstites219637@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kstites219637@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.