NPIMap

Individual provider Active NPI

Kaylee Hannah Adams, PA-C

  • Physician Assistant
  • Seneca, SC
National Provider Identifier
1942943246
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4339 Issued in SC
Practice address
107 Omni Dr Ste a
Seneca, SC 29672-9448
Phone
(864) 482-3285
Fax
(864) 482-3287
NPI assigned
Apr 15, 2022
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 4339 SC Primary

Addresses

Primary practice location

107 Omni Dr Ste a
Seneca, SC 29672-9448

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

3308 Brushy Creek Rd
Greer, SC 29650-1002
Phone (864) 752-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622001814 SC Practitioner - Physician Assistant 4183003189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Omni Dr
Suite a
Seneca, SC 29672-9448
Phone (864) 885-7520

102 B Omni Dr
Seneca, SC 29672-9448
Phone (864) 885-7971

103 Omni Dr
Suite B
Seneca, SC 29672-9448
Phone (864) 886-9250

105 B Omni Dr
Seneca, SC 29672-9448
Phone (864) 482-3157

107 Omni Dr
Suite a
Seneca, SC 29672-9448
Phone (864) 885-7475

109 Omni Dr
Suite B
Seneca, SC 29672-9448
Phone (864) 888-4222

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4339SCMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 1, 2022 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1025 Verdae Blvd
Ste A
Greenville, SC 29607
Phone (864) 242-4683

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

3308 Brushy Creek Rd
Greer, SC 29650
Phone (864) 752-2000

107 Omni Dr
#A
Seneca, SC 29672
Phone (864) 482-3000

Interoperability endpoints

  • Direct secure messaging: kadams591730@direct.ghs.myhfn.org

Organizations & group practices 2

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.

Hospital & facility affiliations 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1942943246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OMNI DR STE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729448",
            "telephone_number": "864-482-3285",
            "fax_number": "864-482-3287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Brushy Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296501002",
            "country_code": "US",
            "telephone_number": "864-752-2000",
            "fax_number": "864-752-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KAYLEE",
        "middle_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.