NPIMap

Individual provider Active NPI

Daniel Terrell Kirkley, MMS. PA-C

  • Physician Assistant
  • Indian Land, SC
National Provider Identifier
1245748045
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2910 Issued in SC
Practice address
8500 Charlotte Hwy
Indian Land, SC 29707-7591
Phone
(803) 548-9393
Fax
(803) 548-9590
NPI assigned
Jan 15, 2018
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2910 SC Primary
Physician Assistant 363A00000X 0010-08907 NC
Family Medicine Physician 207Q00000X MPA.2910 SC
Trauma Surgery Physician 2086S0127X MPA.2910 SC

Addresses

Primary practice location

8500 Charlotte Hwy
Indian Land, SC 29707-7591

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

7804 Fairview Rd Ste A
Charlotte, NC 28226-4999
Phone (704) 316-3136

Other practice location 2

1040 Edgewater Corporate Pkwy
Indian Land, SC 29707-4514
Phone (803) 434-8819

Other identifiers 1

IdentifierTypeStateIssuer
3620PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180511001729 SC Practitioner - Physician Assistant 5698039006 Reassigns benefits to 3 organizations
I20240202001822 NC Practitioner - Physician Assistant 5698039006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

7804 Fairview Rd a
Charlotte, NC 28226-4999
Phone (704) 316-3136

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MPA.2910SCMDFamily Medicine Physician
2910SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Family Medicine CurrentSince Mar 14, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 26, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 14, 2018 Accepting new patients
Palmetto Medical Group, PLLC CurrentSince Dec 9, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 26, 2024 Accepting new patients
Novant Health Medical Group, LLC Family Medicine Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

7804 Fairview Rd
Ste A
Charlotte, NC 28226
Phone (704) 316-3136

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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

9 Richland Medical Park Dr
Ste 450
Columbia, SC 29203
Phone (803) 434-8800

1040 Edgewater Corporate Pkwy
Ste 101
Indian Land, SC 29707
Phone (803) 548-7007

Interoperability endpoints

  • Direct secure messaging: dkirkley1261229@direct.novanthealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1245748045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 CHARLOTTE HWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077591",
            "telephone_number": "803-548-9393",
            "fax_number": "803-548-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7804 Fairview Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264999",
            "country_code": "US",
            "telephone_number": "704-316-3136",
            "fax_number": "704-316-3140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Edgewater Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297074514",
            "country_code": "US",
            "telephone_number": "803-434-8819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLEY",
        "first_name": "DANIEL",
        "middle_name": "TERRELL",
        "credential": "MMS. PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2910",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08907",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MPA.2910",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "SC",
            "license": "MPA.2910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3620PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

Verify at the official NPI Registry.