David McKenna, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA061707 Issued in PA

Practice address

109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152

Phone

(864) 885-0058

Fax

(864) 885-0098

NPI assigned

Nov 8, 2020

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keowee Primary Care and Internal Medicine PCGroup PAC ID 2860472743, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Keowee Primary Care & Internal Medicine PC

  • Internal Medicine Physician
  • Seneca, SC
  • NPI 1548371222
  Medicare reassignment Care Compare group
• Medi Urgent Care Center Inc

  • Urgent Care Clinic/Center
  • Seneca, SC
  • NPI 1225075468
  NPD (past)

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1215538913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROCKVIEW PL",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231664",
            "telephone_number": "814-355-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR STE 3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058",
            "fax_number": "864-885-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Rockview Pl",
            "address_purpose": "LOCATION",
            "city": "Bellefonte",
            "state": "PA",
            "postal_code": "168231664",
            "country_code": "US",
            "telephone_number": "814-355-4874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-08",
        "last_updated": "2023-03-21",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005306",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lee McGuffin, MSP,CCC-SLP
• Ryan McHugh, DC
• Tawny Jenna McIntosh, APRN
• Hannah McKee
• Joshua McKee, DMD
• Judith Ann McKibben, MS
• Darlene Marie McNulty, OTR/L
• Timothy J. McPherson, M.D.
• John G McRoberts, DMD
• Valentina McShane, DC

• Physician Assistant in Seneca, SC
• Providers in Seneca, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
• 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.

Verify at the official NPI Registry.