Individual provider Active NPI

Kara Tammany Castleberry, PA-C

  • Physician Assistant
  • N Charleston, SC
National Provider Identifier
1912275231
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2686 Issued in SC
Practice address
9267 Medical Plaza Dr Ste G
N Charleston, SC 29406-9139
Phone
(843) 797-3636
Fax
(843) 797-3637
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2686 SC Primary

Addresses

Primary practice location

9267 Medical Plaza Dr Ste G
N Charleston, SC 29406-9139

Mailing address

9267 Medical Plaza Dr Ste G
N Charleston, SC 29406-9139
Phone (843) 797-3636

Other practice location 1

108 N Highway 52
Moncks Corner, SC 29461-3910
Phone (843) 797-3636

Other practice location 2

120 Highland Center Dr
Columbia, SC 29203-9127
Phone (843) 797-3636

Other practice location 3

1930 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 797-3636

Other practice location 4

176 McSwain Dr
West Columbia, SC 29169-4825
Phone (843) 797-3636

Other practice location 5

205 Eddie Chasteen Dr
Walterboro, SC 29488-5728
Phone (843) 797-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220119000131 SC Practitioner - Physician Assistant 3678740354
I20230505001547 NJ Practitioner - Physician Assistant 3678740354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

360 Essex St
Hackensack, NJ 07601-8550
Phone (551) 996-8720

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 868-6755

939 Kennedy Blvd
North Bergen, NJ 07047-1870
Phone (201) 864-2484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2686SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 25, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Ste 901
Hackensack, NJ 07601
Phone (201) 343-6870

20 Prospect Ave
Ste 600
Hackensack, NJ 07601
Phone (201) 488-1036

7650 River Rd
Ste 300
North Bergen, NJ 07047
Phone (201) 224-8831

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

7650 River Rd
Ste 100
North Bergen, NJ 07047
Phone (201) 639-6620

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1912275231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR STE G",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR STE G",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N Highway 52",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613910",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Highland Center Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292039127",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 Charlie Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145837",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 McSwain Dr",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694825",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Eddie Chasteen Dr",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294885728",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "KARA",
        "middle_name": "TAMMANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.