KAITLYN GANNON PA-C
NPI 1003797317
Physician Assistant in Florence, SC

Active since September 11, 2025PECOS Enrolled
555 E CHEVES ST, FLORENCE, SC 29506(843) 777-2000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaitlyn Gannon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN GANNON PA-C (NPI 1003797317) is an individual physician assistant in Florence, South Carolina, licensed in South Carolina (5965) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003797317
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN GANNONCredential: PA-C
Location Address555 E CHEVES STFlorence, SC 29506-2617
Mailing Address555 E Cheves StFlorence, SC 29506-2617 · (843) 777-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
NPI 1003797317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 5965
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

555 E CHEVES ST, Florence, SC 29506

Other Names 1

Other Name (5)Katie Gannon Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlyn Gannon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264929934
PECOS Enrollment IDI20251015004322
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
555 E CHEVES ST
FLORENCE, SC 29506
Physical Therapy Assistant
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Practitioner (Family)
555 E CHEVES ST
FLORENCE, SC 29506
Internal Medicine
555 E CHEVES ST, MCLEOD REGIONAL MEDICAL CENTER
FLORENCE, SC 29506
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Family Medicine
555 E CHEVES ST
FLORENCE, SC 29506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Gannon's NPI number?

The NPI number for Kaitlyn Gannon is 1003797317. It was assigned to this individual provider in the NPPES registry on September 11, 2025. The provider is also known as Katie Gannon Pa-C.

Where is Kaitlyn Gannon located?

Kaitlyn Gannon practices at 555 E Cheves St, Florence, SC 29506. The listed phone number is (843) 777-2000.

What is Kaitlyn Gannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kaitlyn Gannon enrolled in Medicare?

Yes. Kaitlyn Gannon is registered in the Medicare PECOS enrollment system.

Is Kaitlyn Gannon affiliated with any hospitals?

According to CMS data, Kaitlyn Gannon is affiliated with Mcleod Regional Medical Center-Pee Dee.

When was this NPI record last updated?

The NPPES record for Kaitlyn Gannon was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.