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

Individual provider Physician Assistant · NPI 1154977916

Kelli S Daughtry is a Physician Assistant in Georgetown, South Carolina. Qualified in 2020, 6 years ago. Practices with Georgetown Physician Associates, LLC, a 223-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

1014 Huger Dr
Georgetown, SC 29440-3322
Phone: (843) 520-8780
Fax: (843) 652-8399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 5115 Oleander Dr, Wilmington, NC 28403-7018 — (910) 362-1011
  • 606 Black River Rd Ste 301, Georgetown, SC 29440-3304 — (843) 652-8390
  • 1014 Huger Dr, Georgetown, SC 29440-3322 — (843) 520-8780
  • 4040 Highway 17 Unit 104, Murrells Inlet, SC 29576-5098 — (843) 652-8390
  • 4040 Highway 17 Unit 104, Murrells Inlet, SC 29576-5098 — (843) 652-8390
  • 2200 Crow Ln Ste 303b, Myrtle Beach, SC 29577-1663 — (843) 520-8780
  • 2200 Crow Ln Ste 303b, Myrtle Beach, SC 29577-1663 — (843) 520-8780

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 00010-10521 (NC)

Record details

NPI number1154977916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing addressPo Box 421718, Georgetown, SC 29442-4203

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Georgetown Physician Associates, Llc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Georgetown