Individual provider Active NPI

Kimberly Gail Kyker, MD

  • Sports Medicine (Family Medicine) Physician
  • Anderson, SC
National Provider Identifier
1992942502
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
31408 Issued in SC
Practice address
100 Healthy Way Ste 1200
Anderson, SC 29621-7916
Phone
(864) 512-6140
Fax
(864) 512-6149
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31408 SC
Emergency Medicine Physician 207P00000X 31408 SC
Sports Medicine (Family Medicine) Physician 207QS0010X 31408 SC Primary

Addresses

Primary practice location

100 Healthy Way Ste 1200
Anderson, SC 29621-7916

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-7257

Other practice location 1

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 512-7257

Other practice location 2

885 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 512-5725

Other practice location 3

735 McMillan Rd
Clemson, SC 29634-4054
Phone (864) 656-2233

Other identifiers 1

IdentifierTypeStateIssuer
314083MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120203000705 SC Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Emergency Medicine 1658538558 Reassigns benefits to 5 organizations
I20120228000427 NC Practitioner - Family Practice 1658538558

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

2000 E Greenville St
Cancer Center 3Rd Floor
Anderson, SC 29621-1580
Phone (864) 225-5131

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 654-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Family Medicine CurrentSince Mar 3, 2022 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Prisma Health University Medical Group CurrentSince Nov 28, 2018 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Anmed Health Family Medicine CurrentSince Nov 3, 2021 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Nov 28, 2018 Accepting new patients
Prisma Health University Medical Group Family Medicine Current Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Anmed Health Past Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

100 Healthy Way
Ste 1200
Anderson, SC 29621
Phone (864) 260-9910

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

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

200 Fleetwood Dr
#4
Easley, SC 29640

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

701 Grove Rd
Fl 1
Greenville, SC 29605
Phone (864) 455-7899

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Interoperability endpoints

  • Direct secure messaging: kkyker7974@direct.anmedhealth.net

Organizations & group practices 12

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1992942502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-7257",
            "fax_number": "864-654-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1200",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217916",
            "telephone_number": "864-512-6140",
            "fax_number": "864-512-6149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Tiger Blvd",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311480",
            "country_code": "US",
            "telephone_number": "864-512-7257",
            "fax_number": "864-654-7672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Tiger Blvd",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311480",
            "country_code": "US",
            "telephone_number": "864-512-5725",
            "fax_number": "864-512-8039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 MCMILLAN RD",
            "address_purpose": "LOCATION",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "country_code": "US",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYKER",
        "first_name": "KIMBERLY",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31408",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "31408",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "31408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314083",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.