Active NPI
Kimberly Stites, CNM
- Advanced Practice Midwife
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 24270
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q693893365 | Other | SC | MEDICARE PIN |
| MW0282 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 576 | NC | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1396981403
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
- Surgery Physician
- Greer, SC
- NPI 1760114664
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1760637904
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1376580852
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1124300876
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.