NPIMap

Individual provider Active NPI

Kristin Lee Cantrell, PA

  • Physician Assistant
  • Seneca, SC
National Provider Identifier
1659332658
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA357 Issued in SC
Practice address
10630 Clemson Blvd Ste 100
Seneca, SC 29678-4545
Phone
(864) 482-6000
Fax
(864) 482-7000
NPI assigned
Mar 29, 2006
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 357 SC
Physician Assistant 363A00000X PA357 SC Primary

Addresses

Primary practice location

10630 Clemson Blvd Ste 100
Seneca, SC 29678-4545

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

111 W Main St
Westminster, SC 29693
Phone (864) 647-1820

Other identifiers 1

IdentifierTypeStateIssuer
2212PAMedicaidSC

Other names 1

  • Kristin Lee Meyers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000179 SC Practitioner - Physician Assistant 4183630445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothills Family Medicine of Westminster PAGroup PAC ID 7719021542, 4 clinicians

Practice addresses (Care Compare)

10630 Clemson Blvd
Suite 100
Seneca, SC 29678-4545
Phone (864) 242-4263

111 W Main St
Westminster, SC 29693-1668
Phone (864) 647-1820

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA357SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince May 19, 2015 Accepting new patients
Greenville Health System CurrentSince May 19, 2015 Accepting new patients
Greenville Health System CurrentSince May 19, 2015 Accepting new patients
Blue Ridge Women's Care PA Past Accepting new patients
Primary Care Associates, PC PastSince Jun 1, 1995 Accepting new patients
Keowee Surgical Clinic P.a. Past Accepting new patients

Locations

2000 E Greenville St
Ste 1600
Anderson, SC 29621
Phone (803) 226-9193

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

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

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

100 Omni Dr
#A
Seneca, SC 29672
Phone (864) 885-7520

10630 Clemson Blvd
Ste 100
Seneca, SC 29678
Phone (864) 260-9910

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

772 N Townville St
Seneca, SC 29678
Phone (864) 886-9300

Interoperability endpoints

  • Direct secure messaging: kmeyers50296@direct.ghs.myhfn.org
  • Direct secure messaging: kristinmeyers@ffmw.allscriptsdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1659332658",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 CLEMSON BLVD STE 100",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784545",
            "telephone_number": "864-482-6000",
            "fax_number": "864-482-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Main St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "SC",
            "postal_code": "29693",
            "country_code": "US",
            "telephone_number": "864-647-1820",
            "fax_number": "864-236-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "357",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2212PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MEYERS",
            "middle_name": "LEE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.