KAITLYN SHILLINGLAW DO
NPI 1396586889
Family Medicine in Greenwood, SC
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlyn Shillinglaw Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kaitlyn Shillinglaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 560 clinicians in this Medicare group
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 231 clinicians in this Medicare group
Edgefield, SC 29824
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1922582105 (South Carolina)
- 126 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SCPhysician 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.
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.
GREENWOOD, SC 29646
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 Shillinglaw's NPI number?
The NPI number for Kaitlyn Shillinglaw is 1396586889. It was assigned to this individual provider in the NPPES registry on June 6, 2024.
Where is Kaitlyn Shillinglaw located?
Kaitlyn Shillinglaw practices at 1325 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-4780.
What is Kaitlyn Shillinglaw's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kaitlyn Shillinglaw enrolled in Medicare?
Yes. Kaitlyn Shillinglaw is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kaitlyn Shillinglaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Shillinglaw reassigns Medicare benefits to 3 organizations: Self Medical Group (Greenwood, SC), Self Regional Healthcare (Greenwood, SC) and Self Regional Healthcare Partners (Edgefield, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Shillinglaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kaitlyn Shillinglaw affiliated with any hospitals?
According to CMS data, Kaitlyn Shillinglaw is affiliated with Self Regional Healthcare.
When was this NPI record last updated?
The NPPES record for Kaitlyn Shillinglaw was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kaitlyn Shillinglaw, DO · NPI 1396586889
Family Medicine physician in Greenwood, South Carolina. Individual provider, active in the CMS NPPES registry since June 6, 2024.
## Identity
- **NPI:** 1396586889 (Entity type: Individual)
- **Enumerated:** June 6, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 91470 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1325 SPRING ST, Greenwood, SC 29646-3860
- **Phone:** (864) 725-4780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Self Medical Group (NPI 1013579259, Greenwood, SC); Self Regional Healthcare (NPI 1013867498, Greenwood, SC); Self Regional Healthcare Partners (NPI 1053929208, Edgefield, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Carolinas Campus, class of 2024
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396586889) · Data from the CMS NPPES public registry.