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

Q: What is Kaitlyn Holbrook's NPI number?

The NPI number for Kaitlyn Holbrook is 1134744220. It was assigned to this individual provider in the NPPES registry on June 15, 2020. The provider is also known as Kaitlyn Michelle Holbrook.

Q: What is Kaitlyn Holbrook's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Holbrook was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

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: August 09, 2026.

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

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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

Phone(864) 455-8300

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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 13

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

JESSICA BROOKE JOSMAN

Nurse Practitioner (Family)