Active NPI
Caitlin Rae McKay
- Advanced Practice Midwife
- Irmo, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 27348
- Practice address
- 1 Wellness Blvd Ste 200
Irmo, SC 29063-2873 - Phone
- (803) 567-8840
- Fax
- (803) 567-8841
- NPI assigned
- Jul 17, 2019
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27348 | SC | |
| Family Nurse Practitioner | 363LF0000X | 71009721A | IN | |
| Advanced Practice Midwife | 367A00000X | 27348 | SC | Primary |
| Registered Nurse | 163W00000X | 28216090A | IN |
Addresses
Primary practice location
1 Wellness Blvd Ste 200
Irmo, SC 29063-2873
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
2 Medical Park Rd Ste 107
Columbia, SC 29203-6839
Phone (803) 434-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300035366 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Medical Park Rd
Suite 107
Columbia, SC 29203-6839
Phone (803) 545-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28216090A | IN | MD | Registered Nurse |
| 71009721A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
7938 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-8748
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2 Medical Park Rd
Ste 107
Columbia, SC 29203
Phone (803) 434-4480
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
1 Wellness Blvd
Ste 200
Irmo, SC 29063
Phone (803) 567-8840
Interoperability endpoints
- cadams609286@direct.ghs.myhfn.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Senior Primary Care
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
dba Prisma Health Cancer Inst-Richland
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
dba Prisma Health Pediatric Hematology/Oncology
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
dba Prisma Health Richland Hosptial
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
dba Prisma Health Richland Lab Outreach
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
dba Prisma Health Cancer Inst-Richland
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
dba Prisma Health Outpatient Pediatric Pulmonology
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1477106649",
"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": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WELLNESS BLVD STE 200",
"city": "IRMO",
"state": "SC",
"postal_code": "290632873",
"telephone_number": "803-567-8840",
"fax_number": "803-567-8841"
}
],
"practiceLocations": [
{
"address_1": "2 Medical Park Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036839",
"country_code": "US",
"telephone_number": "803-434-4480",
"fax_number": "803-434-3340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAY",
"first_name": "CAITLIN",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "27348",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71009721A",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "27348",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28216090A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300035366",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.