Individual provider Active NPI

Robyn Michele Kitchell

  • Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1295247336
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5903 Issued in SC
Practice address
1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336
Phone
(844) 994-6633
Fax
(470) 300-7913
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6420 MA
Physician Assistant 363A00000X 5903 SC Primary

Addresses

Primary practice location

1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336

Mailing address

1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336
Phone (844) 994-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180531000903 MA Practitioner - Physician Assistant 3577828110 Reassigns benefits to 1 organization
I20260401000521 SC Practitioner - Physician Assistant 3577828110 Reassigns benefits to 2 organizations

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
Gomed Charleston LLCGroup PAC ID 6608114251, 8 clinicians

Practice addresses (Care Compare)

1671 Belle Isle Ave
Suite 110J
Mount Pleasant, SC 29464-8336
Phone (844) 994-6633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5903SCMDOccupational Therapist
PA6420MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gomed Charleston LLC CurrentSince Feb 2, 2026 Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

1671 Belle Isle Ave
Ste 110J
Mt Pleasant, SC 29464
Phone (844) 994-6633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1295247336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 BELLE ISLE AVE STE 110J",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648336",
            "telephone_number": "844-994-6633",
            "fax_number": "470-300-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 BELLE ISLE AVE STE 110J",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648336",
            "telephone_number": "844-994-6633",
            "fax_number": "470-300-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHELL",
        "first_name": "ROBYN",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6420",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.