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MYKENZI GIBBS PA-C
NPI 1053733394
Physician Assistant - Medical in Columbia, SC

Active since January 06, 2014PECOS EnrolledAccepts Medicare Assignment
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203(803) 434-3800(803) 744-2759 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, Dec 7, 2021 (2 updates tracked since 2021).

About Mykenzi Gibbs Pa-c NPPES

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

MYKENZI GIBBS PA-C (NPI 1053733394) is an individual medical provider in Columbia, South Carolina, licensed in South Carolina (2021) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Musc Health Columbia Medical Center Downtown, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1053733394
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMYKENZI GIBBSCredential: PA-C
Location Address8 RICHLAND MEDICAL PARK DR STE 100Columbia, SC 29203-8006
Mailing Address220 Sailing Club DrColumbia, SC 29229-7359 · (803) 546-5768
Phone(803) 434-3800
Fax(803) 744-2759
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 6, 2014
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1053733394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 2021
Also ListedPhysician AssistantTaxonomy 363A00000X · License 8248-23 (WI)
8 RICHLAND MEDICAL PARK DR STE 100, Columbia, SC 29203
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 S Park St Ste AMadison, WI 53715-1830 · Phone (608) 260-2900 · Fax (608) 260-2956

Other Identifiers 2

Medicaid1053733394WI
Medicaid2089PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mykenzi Gibbs Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416273479
PECOS Enrollment IDI20150310001420
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.

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

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.

DR. TERRY A GRAINGER MD
Internal Medicine (Sleep Medicine)
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800
DR. THOMAS WILLIAM SCHULTZ D.O.
Internal Medicine (Interventional Cardiology)
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800
ERIC E SHOUP PA-C
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800
CHLOE MADALYN COBB
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800
LINDA B VANDUYS N.P.
Nurse Practitioner (Acute Care)
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800
ALYSSA RENEE WALKER
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800
DR. PATRICK A HALL MD
Internal Medicine (Interventional Cardiology)
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800
GUILLERMO ENRIQUE PINEDA M.D.
Internal Medicine (Interventional Cardiology)
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203
Richland County (803) 434-3800

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 Mykenzi Gibbs's NPI number?

The NPI number for Mykenzi Gibbs is 1053733394. It was assigned to this individual provider in the NPPES registry on January 6, 2014.

Where is Mykenzi Gibbs located?

Mykenzi Gibbs practices at 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203. The listed phone number is (803) 434-3800.

What is Mykenzi Gibbs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mykenzi Gibbs enrolled in Medicare?

Yes. Mykenzi Gibbs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mykenzi Gibbs accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Mykenzi Gibbs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mykenzi Gibbs affiliated with any hospitals?

According to CMS data, Mykenzi Gibbs is affiliated with Musc Health Columbia Medical Center Downtown.

When was this NPI record last updated?

The NPPES record for Mykenzi Gibbs was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.