Individual provider Active NPI

Kaitlyn Marie McGuigan, PA-C

  • Pediatrics Physician
  • Surfside Beach, SC
National Provider Identifier
1750981833
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3619 Issued in SC
Practice address
Grand Strand Pediatrics
1120 Glenns Bay Road
Surfside Beach, SC 29575
Phone
(843) 449-1438
Fax
(843) 286-1349
NPI assigned
Oct 28, 2020
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3619 SC Primary

Addresses

Primary practice location

Grand Strand Pediatrics
1120 Glenns Bay Road
Surfside Beach, SC 29575

Mailing address

Grand Strand Pediatrics
8120 Rourk Street
Myrtle Beach, SC 29572
Phone (843) 449-1438

Other names 1

  • Kaitlyn Skelston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3619SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Strand Pediatrics & Adolescent Medicine, P.a. CurrentSince Jun 1, 2022 Accepting new patients
Seashore Pediatrics Pediatrics PastSince Nov 1, 2020 Accepting new patients
University Medical Associates of the Medical University of South Carol PastSince Jun 21, 2022 Accepting new patients

Locations

8120 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-1438

1120 Glenns Bay Rd
Ste 120
Surfside Beach, SC 29575

Interoperability endpoints

  • Direct secure messaging: kaitlynskelston@gspsc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1750981833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GRAND STRAND PEDIATRICS",
            "address_2": "8120 ROURK STREET",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-449-1438",
            "fax_number": "843-286-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAND STRAND PEDIATRICS",
            "address_2": "1120 GLENNS BAY ROAD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "29575",
            "telephone_number": "843-449-1438",
            "fax_number": "843-286-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIGAN",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-03-18",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "SKELSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.