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

Individual provider Physician Assistant · NPI 1063167328

Kristen Michelle Deupree, PA-C is a Physician Assistant in Little River, South Carolina. Qualified in 2021, 5 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2022
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

3980 Highway 9 E Ste 110
Little River, SC 29566-8163
Phone: (843) 399-3100
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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 5923 (SC)

Record details

NPI number1063167328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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