Individual provider Active NPI

Megan Kirkland Bettis

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1407322167
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3265 Issued in SC
Practice address
300 Palmetto Health Pkwy Ste 200
Columbia, SC 29212-1762
Phone
(803) 296-7846
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 PA3265 SC Primary

Addresses

Primary practice location

300 Palmetto Health Pkwy Ste 200
Columbia, SC 29212-1762

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 549-0221

Other practice location 1

91 Victoria Rd
Lugoff, SC 29078-9004
Phone (803) 549-0221

Other practice location 2

74 Polo Rd
Columbia, SC 29223-2806
Phone (803) 223-9609

Other identifiers 1

IdentifierTypeStateIssuer
4022PAMedicaidSC

Other names 1

  • Megan Annette Kirkland Former name

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
I20200318001144 SC Practitioner - Physician Assistant 1557799947 Reassigns benefits to 1 organization

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
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

104 Saluda Pointe Dr
Lexington, SC 29072-7295
Phone (803) 296-7846

1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 434-6771

14 Richland Medical Park Dr
Suite 200
Columbia, SC 29203-6882
Phone (803) 296-7846

2 Medical Park Rd
Columbia, SC 29203-6839

300 Palmetto Health Pkwy
Columbia, SC 29212-1762

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3265SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Aug 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients

Locations

14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200

300 Palmetto Health Pkwy
Ste 200
Columbia, SC 29212
Phone (803) 434-4790

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

Interoperability endpoints

  • Direct secure messaging: mkirkland381323@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.

Hospital & facility affiliations 10

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1407322167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-549-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PALMETTO HEALTH PKWY STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121762",
            "telephone_number": "803-296-7846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Victoria Rd",
            "address_purpose": "LOCATION",
            "city": "Lugoff",
            "state": "SC",
            "postal_code": "290789004",
            "country_code": "US",
            "telephone_number": "803-549-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 Polo Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292232806",
            "country_code": "US",
            "telephone_number": "803-223-9609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTIS",
        "first_name": "MEGAN",
        "middle_name": "KIRKLAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4022PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KIRKLAND",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.