KAITLYN SHILLINGLAW DO
NPI 1396586889
Family Medicine in Greenwood, SC

Active since June 06, 2024PECOS Enrolled
1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4780 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaitlyn Shillinglaw Do NPPES

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

KAITLYN SHILLINGLAW DO (NPI 1396586889) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (91470) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains a secondary practice location in Greenwood.

NPPES Registry Identity

NPI1396586889
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAITLYN SHILLINGLAWCredential: DO
Location Address1325 SPRING STGreenwood, SC 29646-3860
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4865
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2024
Enumeration DateJune 6, 2024
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1396586889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 91470
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1325 SPRING ST, Greenwood, SC 29646

Secondary Practice Location 1

Location 1102 Rockcreek BlvdGreenwood, SC 29649-8915 · Phone (864) 725-5020

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 Shillinglaw Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870030489
PECOS Enrollment IDI20251104004018
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.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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.

Pathology (Anatomic Pathology)
1325 SPRING ST
GREENWOOD, SC 29646
Anesthesiology
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Nurse Anesthetist, Certified Registered
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Anesthesiology
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Nurse Anesthetist, Certified Registered
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Emergency Medicine
1325 SPRING ST, LAKELANDS EMERGENCY PHYSICIANS, PA
GREENWOOD, SC 29646
Nurse Practitioner (Family)
1325 SPRING ST
GREENWOOD, SC 29646
Emergency Medicine
1325 SPRING ST
GREENWOOD, SC 29646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396586889, enumerated as an "individual" on June 06, 2024.

The provider is located at 1325 SPRING ST GREENWOOD, SC 29646 and the phone number is (864) 725-4780.

Family Medicine with taxonomy code 207Q00000X.

Kaitlyn Shillinglaw is affiliated with: SELF REGIONAL HEALTHCARE.