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

Individual provider Physician Assistant · NPI 1689263352

Kelly Larose Rivera, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2020, 6 years ago. Practices with South Carolina ENT Allergy and Sleep Medicine PA, a 23-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2021
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

3 Richland Medical Park Dr Ste 100
Columbia, SC 29203-6850
Phone: (803) 736-3277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4543 (SC)

Record details

NPI number1689263352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

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 South Carolina Ent Allergy And Sleep Medicine Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Columbia