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

Kerry Davidson

Individual provider Medical Physician Assistant · NPI 1538542402

Kerry Davidson is a Physician Assistant in Columbia, South Carolina. Qualified in 2015, 11 years ago. Practices with Bogan Sleep Consultants, a 6-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2015

Practice location Address checks out

1333 Taylor St Ste 6B
Columbia, SC 29201-2953
Phone: (803) 251-3093
Fax: (803) 376-1876
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4507 (SC)

Record details

NPI number1538542402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2015
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Bogan Sleep Consultants — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia