Individual provider Active NPI

Kaitlin Corwin, PA

  • Medical Physician Assistant
  • Columbia, SC
National Provider Identifier
1912462003
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3148 Issued in SC
Practice address
1655 Bernardin Ave Ste 350
Columbia, SC 29204-2039
Phone
(803) 253-7575
Fax
(803) 253-7571
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 3148 SC Primary

Addresses

Primary practice location

1655 Bernardin Ave Ste 350
Columbia, SC 29204-2039

Mailing address

1655 Bernardin Ave Ste 350
Columbia, SC 29204-2039
Phone (803) 253-7575

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
I20190423002869 SC Practitioner - Physician Assistant 7315289360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group South CarolinaGroup PAC ID 8921193020, 69 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

120 Gateway Corp Blvd
Columbia, SC 29203-9611
Phone (803) 865-4500

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
  • Kershawhealth Hospital, Camden, SC, CCN 420048
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.99 of 100Reported as group
Quality
81.65
Improvement activities
40
Cost
74.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Pulmonary and Critical Care Specialists, PC CurrentSince Feb 23, 2019 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Charles a Thompson MD Pulmonary & Sleep PastSince Jul 31, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

1214 N Fant St
Anderson, SC 29621
Phone (864) 540-8025

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1655 Brabham Ave
Ste 350
Columbia, SC 29204
Phone (803) 253-7575

1655 Brabham Ave
Ste 220
Columbia, SC 29204
Phone (803) 254-5038

2001 Laurel St
Ste 300
Columbia, SC 29204
Phone (803) 254-2786

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

1175 Cook Rd
Ste 230
Orangeburg, SC 29118
Phone (803) 395-3844

Interoperability endpoints

  • Direct secure messaging: kcorwin379608@direct.musc.edu
  • FHIR API: https://api.platform.athenahealth.com/19287/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/16459/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 12

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1912462003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-253-7575",
            "fax_number": "803-253-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-253-7575",
            "fax_number": "803-253-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "KAITLIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.