Individual provider Active NPI

Kaitlin Dean Knight-Duggan, PA

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1306531827
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4868 Issued in SC
Practice address
1 Richland Medical Park Dr Ste 100
Columbia, SC 29203-6834
Phone
(803) 434-6095
Fax
(803) 758-0120
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 4868 SC Primary

Addresses

Primary practice location

1 Richland Medical Park Dr Ste 100
Columbia, SC 29203-6834

Mailing address

300 E McBee Avenue FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

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
I20230710002593 SC Practitioner - Physician Assistant 2567821499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians
Medcare Express - North Charleston LLCGroup PAC ID 7618074899, 69 clinicians

Practice addresses (Care Compare)

11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506

110 Medical Cir
Suite a
West Columbia, SC 29169-3642
Phone (803) 509-7316

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

7 Richland Medical Park Dr
Columbia, SC 29203-6863

7418 Garners Ferry Rd
Columbia, SC 29209-2601
Phone (803) 509-6310

8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4868SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Jun 26, 2023 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Dec 4, 2023 Accepting new patients
Charleston Carenow Urgent Care, LLC CurrentSince May 16, 2026 Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients

Locations

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

1 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
Phone (803) 434-6095

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

1 Richland Medical Park Dr
Ste 210
Columbia, SC 29203
Phone (803) 434-2020

10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
#1201
North Charleston, SC 29420

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209

301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246

1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169

110 Medical Cir
Ste A
West Columbia, SC 29169

Interoperability endpoints

  • Direct secure messaging: kknightduggan704790@direct.ghs.myhfn.org

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.

Hospital & facility affiliations 7

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1306531827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVENUE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHLAND MEDICAL PARK DR STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036834",
            "telephone_number": "803-434-6095",
            "fax_number": "803-758-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT-DUGGAN",
        "first_name": "KAITLIN",
        "middle_name": "DEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.