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

Katelyn Maria Dantzler, PA-C

Individual provider Physician Assistant · NPI 1255734638

Katelyn Maria Dantzler, PA-C is a Physician Assistant in Greenville, South Carolina. Qualified in 2014, 12 years ago. Practices with Reynolds Memorial Hospital, Inc, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and West Virginia.

Years since qualifying
12
Licensed in
SC, WV
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 Grove Rd
Greenville, SC 29605
Phone: (864) 455-7000
Show map & directions

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

Additional practice locations (1)

  • 800 Wheeling Ave, Glen Dale, WV 26038-1660 — (304) 845-3211

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2225 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 2283 (WV)

Record details

NPI number1255734638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2014
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Reynolds Memorial Hospital, Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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