Individual provider Active NPI

Duke Kimzey, PA

  • Physician Assistant
  • Lancaster, SC
National Provider Identifier
1245286343
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
905 Issued in SC
Practice address
800 W Meeting St
Lancaster, SC 29720-2202
Phone
(803) 286-1214
Fax
(803) 286-1369
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 905 SC Primary

Addresses

Primary practice location

800 W Meeting St
Lancaster, SC 29720-2202

Mailing address

7704 Black Hawk LN
Tega Cay, SC 29708-8372
Phone (803) 548-6655

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
I20051229000156 SC Practitioner - Physician Assistant 2961424361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

111 John Lawson Ave
Santee, SC 29142-8654
Phone (803) 395-2070

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Edisto Regional Health Services Inc CurrentSince Oct 14, 2010 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Oct 14, 2010 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Edisto Regional Health Services Inc. CurrentSince Jan 29, 2022 Accepting new patients
Emergency Physician Specialists Inc Past Accepting new patients
South Carolina Em-I Medical Services, PC Past Accepting new patients
Wren Emergency Physicians Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
South Carolina Emergency Physicians, LLC Past Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

187 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 395-3068

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

1137 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-2579

111 John Lawson Ave
Santee, SC 29142
Phone (781) 280-1577

Interoperability endpoints

  • Direct secure messaging: dkimzey442408@direct.musc.edu

Organizations & group practices 12

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1245286343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 BLACK HAWK LN",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297088372",
            "telephone_number": "803-548-6655",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202202",
            "telephone_number": "803-286-1214",
            "fax_number": "803-286-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMZEY",
        "first_name": "DUKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.