1. Home
  2. Directory
  3. South Carolina
  4. Conway
  5. Physician Assistant
  6. NPI Profile

KAITLYN B BEVERLY PA-C
NPI 1255974655
Physician Assistant - Medical in Conway, SC

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
72.72/100
CMS Quality Rating
620 SINGLETON RIDGE ROAD, CONWAY, SC 29526(843) 347-7300(843) 347-8459 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 18, 2022, Dec 22, 2021, Aug 12, 2020 and 1 more (4 updates tracked since 2019).

About Kaitlyn B Beverly Pa-c NPPES

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

KAITLYN B BEVERLY PA-C (NPI 1255974655) is an individual medical provider in Conway, South Carolina and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1255974655
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAITLYN B BEVERLYCredential: PA-C
Location Address620 SINGLETON RIDGE ROADConway, SC 29526-9154
Mailing Address300 Singleton Ridge Road, Attention Patient AccountingConway, SC 29526-9142 · (843) 234-6946
Phone(843) 347-7300
Fax(843) 347-8459
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2020
Enumeration DateOctober 18, 2019
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1255974655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
620 SINGLETON RIDGE ROAD, Conway, SC 29526
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaitlyn T Brown

Secondary Practice Location 1

Location 16010 Highway 707 Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 347-7300 · Fax (843) 347-8953

Other Identifiers 1

Medicaid4261PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Kaitlyn B Beverly 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 ID1557787702
PECOS Enrollment IDI20200818002701
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
218 services155 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
213 services150 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
186 services126 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
79 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services49 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
53 services48 patients

Hospital Affiliations CMS Care Compare

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

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.98
Promoting Interoperability100
Improvement Activities40
Cost48.1

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 Beverly's NPI number?

The NPI number for Kaitlyn Beverly is 1255974655. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Kaitlyn Beverly located?

Kaitlyn Beverly practices at 620 Singleton Ridge Road, Conway, SC 29526. The listed phone number is (843) 347-7300.

What is Kaitlyn Beverly's specialty?

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

Is Kaitlyn Beverly enrolled in Medicare?

Yes. Kaitlyn Beverly 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 Kaitlyn Beverly accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Kaitlyn Beverly 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 Kaitlyn Beverly affiliated with any hospitals?

According to CMS data, Kaitlyn Beverly is affiliated with Conway Medical Center.

When was this NPI record last updated?

The NPPES record for Kaitlyn Beverly was last updated on October 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.