KAITLYN MICHELLE HOLBROOK PA-C
NPI 1134744220
Physician Assistant in Greenville, SC

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment
890 W FARIS RD STE 310, GREENVILLE, SC 29605(864) 455-8300 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2022, Feb 11, 2022, Jun 2, 2021 and 2 more (5 updates tracked since 2020).

About Kaitlyn Michelle Holbrook Pa-c NPPES

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

KAITLYN MICHELLE HOLBROOK PA-C (NPI 1134744220) is an individual physician assistant in Greenville, South Carolina, licensed in South Carolina (3604) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1134744220
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN MICHELLE HOLBROOKCredential: PA-C
Location Address890 W FARIS RD STE 310Greenville, SC 29605-4281
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8614
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 15, 2020
Last NPPES UpdateMarch 2, 20225 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1134744220 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 · 3604
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.

890 W FARIS RD STE 310, Greenville, SC 29605

Other Names 1

Former Name (1)Kaitlyn Michelle Holbrook

Secondary Practice Location 1

Location 1701 Grove RdGreenville, SC 29605-4210 · Phone (864) 455-8300

Other Identifiers 1

Medicaid4263PASC

Accepted 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

Kaitlyn Michelle Holbrook 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 ID6406272772
PECOS Enrollment IDI20200817003851
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.

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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 14

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

Surgery
890 W FARIS RD STE 310
GREENVILLE, SC 29605
Physician Assistant
890 W FARIS RD STE 310
GREENVILLE, SC 29605
Surgery
890 W FARIS RD STE 310
GREENVILLE, SC 29605
Nurse Practitioner (Gerontology)
890 W FARIS RD STE 310
GREENVILLE, SC 29605
Surgery (Surgical Critical Care)
890 W FARIS RD STE 310
GREENVILLE, SC 29605
Physician Assistant
890 W FARIS RD STE 310
GREENVILLE, SC 29605
Physician Assistant
890 W FARIS RD STE 310
GREENVILLE, SC 29605
Surgery (Surgical Critical Care)
890 W FARIS RD STE 310
GREENVILLE, SC 29605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134744220, enumerated as an "individual" on June 15, 2020.

The provider is located at 890 W FARIS RD STE 310 GREENVILLE, SC 29605 and the phone number is (864) 455-8300.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, InStil. Please consult your insurance carrier or call the provider to verify.

Kaitlyn Holbrook is affiliated with: PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL.