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

Kevin Carlson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124523170

Kevin Carlson is an Otolaryngology in Greenville, South Carolina. Graduated from University of Virginia School of Medicine in 2018, 8 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Wisconsin.

Years since qualifying
8
Trained at
University of Virginia School of Medicine
Licensed in
SC, WI
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

200 Patewood Dr Ste B400
Greenville, SC 29615-6306
Phone: (864) 454-4368
Fax: (864) 241-9232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 — (757) 388-6200

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 92143 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Otolaryngology Physician Taxonomy 207Y00000X · Licence 82003 (WI)

Record details

NPI number1124523170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenville