Individual provider Active NPI

Kristin Callaghan, PA-C

  • Medical Physician Assistant
  • Beaufort, SC
National Provider Identifier
1598144305
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2330 Issued in SC
Practice address
1055 Ribaut Rd Ste 10
Beaufort, SC 29902-3402
Phone
(843) 524-7607
Fax
(843) 524-6737
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 2330 SC
Medical Physician Assistant 363AM0700X 2330 SC Primary

Addresses

Primary practice location

1055 Ribaut Rd Ste 10
Beaufort, SC 29902-3402

Mailing address

1055 Ribaut Rd Ste 10
Beaufort, SC 29902-3402
Phone (435) 247-6078

Other practice location 1

122 Okatie Center Blvd N
Okatie, SC 29909-3781
Phone (843) 707-8000

Other names 1

  • Kristin Elizabeth Strickland 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
I20150720001174 SC Practitioner - Physician Assistant 4587977624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

989 Ribaut Rd
Beaufort, SC 29902-5472

989 Ribaut Rd
Suite 210
Beaufort, SC 29902-5481
Phone (843) 522-7820

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Dec 25, 2023 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince May 1, 2017 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. CurrentSince May 1, 2017 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

1055 Ribaut Rd
Ste 10
Beaufort, SC 29902
Phone (843) 524-2100

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

122 Okatie Center Blvd N
Okatie, SC 29909
Phone (843) 273-7980

122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040

Interoperability endpoints

  • Direct secure messaging: kristin.callaghan.1@16436.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1598144305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 10",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023402",
            "telephone_number": "435-247-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 10",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023402",
            "telephone_number": "843-524-7607",
            "fax_number": "843-524-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Okatie Center Blvd N",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299093781",
            "country_code": "US",
            "telephone_number": "843-707-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2330",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "STRICKLAND",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.