Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Marie Tetanich, PA-C

Individual provider Medical Physician Assistant · NPI 1568115343

Katie Marie Tetanich, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2021, 5 years ago. Practices with Columbia Nephrology Associates PA, a 33-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2022
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

121 Park Central Dr Ste 200
Columbia, SC 29203-6476
Phone: (803) 252-9907
Fax: (803) 252-9906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4319 (SC)

Record details

NPI number1568115343
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Columbia Nephrology Associates Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Columbia