Individual provider Active NPI

Katelyn Marie Mason, PA

  • Physician Assistant
  • Little River, SC
National Provider Identifier
1356984322
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3382 Issued in SC
Practice address
3980 Highway 9 E Ste 300
Little River, SC 29566-8165
Phone
(843) 646-8040
Fax
(843) 646-8049
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 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 3382 SC Primary

Addresses

Primary practice location

3980 Highway 9 E Ste 300
Little River, SC 29566-8165

Mailing address

506 E Cheves St Ste 202
Florence, SC 29506-2616
Phone (843) 646-8040

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ktuley@orthosc.org Direct
Direct Messaging Address katelyn.tuley@mpaii.eclinicaldirectplus.com Direct

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
I20200109001844 SC Practitioner - Physician Assistant 7315372893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilton Head Regional Physician Group LLCGroup PAC ID 9234573676, 114 clinicians

Practice addresses (Care Compare)

8 Hospital Ctr Blvd
Hilton Head, SC 29926-8701

Hospital & facility affiliations

  • Amedisys Home Health of Bluffton Home health agency, Bluffton, SC, CCN 427048
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3382SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Regional Physician Group LLC CurrentSince Jan 1, 2025 Accepting new patients
McLeod Physician Associates II Surgery CurrentSince Dec 7, 2020 Accepting new patients
Hilton Head Regional Physician Group LLC Surgery CurrentSince Jan 1, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
Hilton Head Heart PA Past Accepting new patients

Locations

11 Arley Way
Ste 201
Bluffton, SC 29910
Phone (843) 706-8690

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

3980 Highway 9 E
Ste 300
Little River, SC 29566
Phone (843) 366-3891

107 McLeod Health Blvd
Ste 102
Myrtle Beach, SC 29579
Phone (843) 646-8340

Interoperability endpoints

  • Direct secure messaging: katelyn.tuley@mpaii.eclinicaldirectplus.com
  • Direct secure messaging: katelyn.mason.1@30548.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1356984322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E CHEVES ST STE 202",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062616",
            "telephone_number": "843-646-8040",
            "fax_number": "843-646-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 300",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668165",
            "telephone_number": "843-646-8040",
            "fax_number": "843-646-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-07-22",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktuley@orthosc.org",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Village Center Blvd Ste 140",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295796706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelyn.tuley@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "107 McLeod Health Blvd Ste 102",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295794477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.