Individual provider Active NPI

Elisabeth Landry Kryway, PA

  • Physician Assistant
  • North Charleston, SC
National Provider Identifier
1356390934
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA950 Issued in SC
Practice address
7555 Northside Dr
North Charleston, SC 29420-4211
Phone
(843) 797-8162
Fax
(843) 797-8372
NPI assigned
May 9, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 PA950 SC Primary
Medical Physician Assistant 363AM0700X 001000084 NC

Addresses

Primary practice location

7555 Northside Dr
North Charleston, SC 29420-4211

Mailing address

7555 Northside Dr
North Charleston, SC 29420-4211
Phone (843) 797-8162

Other practice location 1

900 Bowman Rd Ste 201
Mount Pleasant, SC 29464-3221
Phone (843) 797-8162

Other practice location 2

1470 Tobias Gadson Blvd Ste 204
Charleston, SC 29407-4925
Phone (843) 797-8162

Other practice location 3

3516 S Live Oak Dr Unit B
Moncks Corner, SC 29461-8762
Phone (843) 797-8162

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
I20260218003654 SC Practitioner - Physician Assistant 0143280693 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1470 Tobias Gadson Blvd
200A
Charleston, SC 29407-4925
Phone (843) 573-9373

7555 Northside Dr
Charleston, SC 29420-4211
Phone (843) 797-8162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
950SCMDRegistered Dietitian
PA950SCMDPhysician Assistant
001000084NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Allergy Asthma & Urticaria Centers of Charleston PA CurrentSince Dec 9, 2025 Accepting new patients
National Allergy Asthma & Urticaria Centers of Charleston, PA Past Accepting new patients
National Allergy Asthma & Urticaria Centers of Charleston PA Past Accepting new patients

Locations

730 Stony Landing Rd
Ste 200
Moncks Corner, SC 29461
Phone (843) 567-3206

900 Bowman Rd
Ste 201
Mt Pleasant, SC 29464
Phone (843) 791-0139

7555 Northside Dr
North Charleston, SC 29420
Phone (843) 797-8162

9165 University Blvd
North Charleston, SC 29406
Phone (843) 797-8162

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1356390934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 NORTHSIDE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204211",
            "telephone_number": "843-797-8162",
            "fax_number": "843-797-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 NORTHSIDE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204211",
            "telephone_number": "843-797-8162",
            "fax_number": "843-797-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Bowman Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643221",
            "country_code": "US",
            "telephone_number": "843-797-8162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1470 Tobias Gadson Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074925",
            "country_code": "US",
            "telephone_number": "843-797-8162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3516 S Live Oak Dr Unit B",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294618762",
            "country_code": "US",
            "telephone_number": "843-797-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYWAY",
        "first_name": "ELISABETH",
        "middle_name": "LANDRY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA950",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001000084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.