KAITLYN WALDO
NPI 1679369185
Physician Assistant - Surgical in Lexington, SC

Active since April 19, 2025PECOS EnrolledAccepts Medicare Assignment
104 SALUDA POINTE DR, LEXINGTON, SC 29072(803) 296-7846(803) 296-9699 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Waldo NPPES

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

KAITLYN WALDO (NPI 1679369185) is an individual surgical provider in Lexington, South Carolina, licensed in South Carolina (5842) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679369185
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKAITLYN WALDO
Location Address104 SALUDA POINTE DRLexington, SC 29072-7295
Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611
Fax(803) 296-9699
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 19, 2025
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1679369185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in SC · 5842
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MPA.5842 (SC)
104 SALUDA POINTE DR, Lexington, SC 29072

Secondary Practice Locations 2

Location 16 Medical Park RdColumbia, SC 29203 · Phone (201) 937-5162
Location 21333 Taylor St Ste 6FColumbia, SC 29201-2953 · Phone (803) 296-3273 · Fax (803) 296-7061

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 Waldo 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 ID7719487115
PECOS Enrollment IDI20250820004868
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 Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

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.

Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR, MOORE CENTER FOR ORTHOPEDICS
LEXINGTON, SC 29072
Nurse Practitioner (Family)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Physician Assistant
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Orthopaedic Surgery (Hand Surgery)
104 SALUDA POINTE DR
LEXINGTON, SC 29072

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 Waldo's NPI number?

The NPI number for Kaitlyn Waldo is 1679369185. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Where is Kaitlyn Waldo located?

Kaitlyn Waldo practices at 104 Saluda Pointe Dr, Lexington, SC 29072. The listed phone number is (803) 296-7846.

What is Kaitlyn Waldo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kaitlyn Waldo enrolled in Medicare?

Yes. Kaitlyn Waldo 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.

Is Kaitlyn Waldo affiliated with any hospitals?

According to CMS data, Kaitlyn Waldo is affiliated with Prisma Health Richland Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Waldo was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.