Individual provider Active NPI

Katarina Grace Stewart, PA-C

  • Medical Physician Assistant
  • Greenville, SC
National Provider Identifier
1366219099
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5175 Issued in SC
Practice address
525 Verdae Blvd Ste 150
Greenville, SC 29607-4021
Phone
(864) 720-1900
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 5175 SC
Medical Physician Assistant 363AM0700X 5175 SC Primary

Addresses

Primary practice location

525 Verdae Blvd Ste 150
Greenville, SC 29607-4021

Mailing address

103 White Oak Dr Apt C
Greenville, SC 29607-1217
Phone (803) 727-3785

Other practice location 1

3093 S Highway 14 Ste 101
Greer, SC 29650-4829
Phone (864) 720-1900

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
I20240325002120 SC Practitioner - Physician Assistant 1052758109 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5175SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Mar 28, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 1, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 1, 2025 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

525 Verdae Blvd
Ste 150
Greenville, SC 29607
Phone (864) 516-1783

3093 S Highway 14
Ste 101
Greer, SC 29650
Phone (864) 720-1900

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

Interoperability endpoints

  • Direct secure messaging: kstewart744895@direct.ghs.myhfn.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1366219099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WHITE OAK DR APT C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071217",
            "telephone_number": "803-727-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 150",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-720-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3093 S Highway 14 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296504829",
            "country_code": "US",
            "telephone_number": "864-720-1900",
            "fax_number": "864-720-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KATARINA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5175",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "5175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.