Individual provider Active NPI

Kathryn Blair Conner, PA-C

  • Medical Physician Assistant
  • North Charleston, SC
National Provider Identifier
1811323884
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1970 Issued in SC
Practice address
9313 Medical Plaza Dr Ste 103
North Charleston, SC 29406-9802
Phone
(843) 790-8280
Fax
(843) 974-8500
NPI assigned
Sep 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1970 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 103
North Charleston, SC 29406-9802

Mailing address

9313 Medical Plaza Dr Ste 103
North Charleston, SC 29406-9802
Phone (843) 790-8280

Other practice location 1

404 Brighton Park Blvd Ste 101
Summerville, SC 29486-3058
Phone (843) 790-8280

Other practice location 2

1300 Hospital Dr Ste 170
Mount Pleasant, SC 29464-3243
Phone (843) 790-8280

Other practice location 3

1176 Sam Rittenberg, Ste 100
Charleston, SC 29407
Phone (843) 790-8280

Other identifiers 1

IdentifierTypeStateIssuer
2004PAMedicaidSC

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
I20140509001611 SC Practitioner - Physician Assistant 3577796960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians
Lowcountry Oncology Associates LLCGroup PAC ID 4688113723, 13 clinicians

Practice addresses (Care Compare)

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2093 Henry Tecklenburg Dr
Charleston, SC 29414-5743

3510 N Hwy 17
Suite 220
Mount Pleasant, SC 29466-8245
Phone (843) 853-3474

8950 University Blvd
North Charleston, SC 29406-9115

9313 Medical Plaza Dr
Suite 103
North Charleston, SC 29406-9802
Phone (843) 790-8280

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1970SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Jun 11, 2018 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jun 11, 2018 Accepting new patients

Locations

1483 Tobias Gadson Blvd
Ste 202
Charleston, SC 29407
Phone (843) 763-2320

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

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 10

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": "1379808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1811323884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Brighton Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294863058",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Hospital Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643243",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1176 Sam Rittenberg, Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29407",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KATHRYN",
        "middle_name": "BLAIR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-22",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.