Kathryn Wilkie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3201 Issued in SC

Practice address

15 Roe Rd
Greenville, SC 29611-7423

Phone

(864) 295-2308

Fax

(864) 295-0396

NPI assigned

Apr 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kathryn Elizabeth Allen Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1457745952
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Union, SC
  • NPI 1982248852
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Easley, SC
  • NPI 1295218642
  NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1548528714
  NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1558946376
  NPD

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1326602137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-295-2308",
            "fax_number": "864-295-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117423",
            "telephone_number": "864-295-2308",
            "fax_number": "864-295-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Irby St Ste C",
            "address_purpose": "LOCATION",
            "city": "Woodruff",
            "state": "SC",
            "postal_code": "293881618",
            "country_code": "US",
            "telephone_number": "864-582-2817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Langdon St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021614",
            "country_code": "US",
            "telephone_number": "864-582-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKIE",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL3201",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3234PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkie461781@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kwilkie461781@direct.ghs.myhfn.org",
            "address_1": "15 Roe Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296117423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ALLEN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vickie D Wilkerson
• Elizabeth B Wilkes, CRNA
• Emmylou Wilkes
• Lavena S Wilkes, N.P.
• Whitley Wilkes
• Carolyn Wilkins
• Morgan Conte Wilkins, OTR/L
• Kelli Wilkinson
• Lisa G Willams, RPH
• Marlina Marie Willard, LMSW

• Physician Assistant in Greenville, SC
• Providers in Greenville, 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 Jun 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.