Active NPI
Kelly Slotin, PA
- Dermatology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5165
- Practice address
- 135 Rutledge Ave # Msc578
Charleston, SC 29425-8903 - Phone
- (843) 792-9155
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 5165 | SC | Primary |
Addresses
Primary practice location
135 Rutledge Ave # Msc578
Charleston, SC 29425-8903
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240326001499 | SC | Practitioner - Physician Assistant | 1557708591 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Mercer University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Associates of the Medical University of South Carol
Practice addresses (Care Compare)
167 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616
Phone (843) 792-1414
Hospital & facility affiliations
- Musc Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5165 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients |
Locations
135 Rutledge Ave
#578
Charleston, SC 29425
Phone (843) 792-5858
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
5500 Front St
Summerville, SC 29486
Phone (843) 712-1414
Interoperability endpoints
- kslotin455639@direct.musc.edu
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
SC
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
Hospital
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
Hospital
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1689435463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 RUTLEDGE AVE # MSC578",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-792-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOTIN",
"first_name": "KELLY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "5165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.