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

Kinsey Knight Southard, PA-C

Individual provider Physician Assistant · NPI 1275889065

Kinsey Knight Southard, PA-C is a Physician Assistant in Charleston, South Carolina. Graduated from Eastern Virginia Medical School in 2012, 14 years ago. Practices with Roper Saint Francis Physicians Network, a 532-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
14
Trained at
Eastern Virginia Medical School
Licensed in
SC
In the registry since
2012
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

2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894
Phone: (843) 723-8823
Fax: (843) 606-8059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2695 Elms Plantation Blvd, Charleston, SC 29406 — (843) 792-1414

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1808 (SC)

Record details

NPI number1275889065
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 30, 2012
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Roper Saint Francis Physicians Network — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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