JANET M MCKISSICK MD
NPI 1407878366
Family Medicine in Fairfax, SC

Q: What is Janet Mckissick's NPI number?

The NPI number for Janet Mckissick is 1407878366. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Q: What is Janet Mckissick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Janet Mckissick was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 23, 2006PECOS Enrolled

333 REVOLUTIONARY TRL, FAIRFAX, SC 29827(803) 632-2533(803) 632-2451 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2023, Jun 30, 2021, May 18, 2021 and 2 more (5 updates tracked since 2016).

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About Janet M Mckissick Md NPPES

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

JANET M MCKISSICK MD (NPI 1407878366) is an individual family medicine provider in Fairfax, South Carolina, licensed in South Carolina (13979) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407878366

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJANET M MCKISSICKCredential: MD

Location Address333 REVOLUTIONARY TRLFairfax, SC 29827-7109

Mailing Address220 Manor View CtColumbia, SC 29212-2330 · (803) 603-0758

Phone(803) 632-2533

Fax(803) 632-2451

Sole ProprietorNo

Enumeration DateJuly 23, 2006

Last NPPES UpdateFebruary 27, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2023

✔ NPI 1407878366 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 · 13979

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.

333 REVOLUTIONARY TRL, Fairfax, SC 29827

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Other Identifiers 2

Medicaid139790SC

Other13979SC · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janet M Mckissick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Janet Mckissick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Low Country Health Care System, Inc

Same address

Federally Qualified Health Center (FQHC)

333 REVOLUTIONARY TRAIL
Farifax, SC 29827

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1780112912 (South Carolina), NPI 1306378310 (South Carolina)
49 clinicians in this Medicare group

NPI 1053475566 (803) 632-2533

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29827 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$6.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BAXTER MCLENDON M.D.

Ophthalmology