Skyler Alexis Fountaine, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

830 Robertson Blvd
Walterboro, SC 29488-3081

Phone

(843) 781-7428

Fax

(843) 781-7429

NPI assigned

Apr 22, 2024

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
• Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skyler.fountaine.1@20108.direct.athenahealth.com

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.

• Genesis Healthcare, Inc.

  dba Pee Dee Health Care

  • Federally Qualified Health Center (FQHC)
  • Darlington, SC
  • NPI 1437484862
  Medicare reassignment Care Compare group
• Genesis Healthcare, Inc

  dba Walterboro Family Care and Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1942757844
  NPD
• Genesis Healthcare, Inc.

  dba Mobile Health Clinic #1

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1881440758
  NPD
• Genesis Healthcare, Inc.

  dba Genesis Healthcare Florence

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1255305280
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys SC, LLC

  dba Amedisys Home Health of Charleston East

  • Home Health Agency
  • Charleston, SC
  • NPI 1447218748
  Care Compare affiliation
• Walterboro Community Hospital, Inc.

  dba HCA Healthcare Colleton Hospital

  • General Acute Care Hospital
  • Walterboro, SC
  • NPI 1376597997
  Care Compare affiliation

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1932954153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883081",
            "telephone_number": "843-781-7428",
            "fax_number": "843-781-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAINE",
        "first_name": "SKYLER",
        "middle_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7106PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Flowers, MD
• Floyd Brace Company, Inc.
• Matthew Floyd, PHARMD
• Kelly Ann Flynn, FNP
• Ford Manor LLC
• Catherine Margaret Franklin, RD,LD
• Henry Lavern Franklin, OD
• Laura A Franklin, RPH
• Corey J. Frazier, BS
• Tylicia A Freeman, NP

• Physician Assistant in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.

Verify at the official NPI Registry.