Individual provider Active NPI

Kristin Wike Huntley, PA-C

  • Medical Physician Assistant
  • Florence, SC
National Provider Identifier
1972160984
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3209 Issued in SC
Practice address
360 N Irby St
Florence, SC 29501-2808
Phone
(843) 667-9414
Fax
(843) 667-1362
NPI assigned
May 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3209 SC Primary
Physician Assistant 363A00000X 3209 SC

Addresses

Primary practice location

360 N Irby St
Florence, SC 29501-2808

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

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
I20220511002063 SC Practitioner - Physician Assistant 0446637581 Reassigns benefits to 1 organization

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
Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians

Practice addresses (Care Compare)

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

600 E Palmetto St
Florence, SC 29506-2851
Phone (843) 667-9414

Hospital & facility affiliations

  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3209SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth, Inc. CurrentSince Apr 11, 2022 Accepting new patients
Hopehealth Inc CurrentSince Apr 11, 2022 Accepting new patients
Free Medical Clinic of Darlington County Current Accepting new patients
Hopehealth Inc Past Accepting new patients
Hopehealth, Inc. Past Accepting new patients

Locations

203 Grove St
Darlington, SC 29532
Phone (843) 398-0060

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

148 Sauls St
Ste A
Lake City, SC 29560
Phone (843) 394-1051

Interoperability endpoints

  • Direct secure messaging: kristin.huntley.1@18007.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17752/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristin.huntley@hop.eclinicaldirectplus.com
  • Direct secure messaging: kristin.huntley.1@17752.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1972160984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "KRISTIN",
        "middle_name": "WIKE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3209",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.