Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kassandra Jean Carpenter, AA

Individual provider Anesthesiologist Assistant · NPI 1518323799

Kassandra Jean Carpenter, AA is an Anesthesiology Assistant in Myrtle Beach, South Carolina. Qualified in 2015, 11 years ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2016

Practice location Address checks out

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone: (843) 692-1062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence TL49 (SC)

Record details

NPI number1518323799
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorYes
NPI enumeratedJanuary 4, 2016
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach