Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin Rhea Kandle, PA-C

Individual provider Physician Assistant · NPI 1881752780

Mr. Justin Rhea Kandle, PA-C is a Physician Assistant in Summerville, South Carolina. Qualified in 2006, 20 years ago. Practices with Coastal Carolina Multispecialty Associates LLC, a 48-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
20
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
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

295A Midland Pkwy Ste 260
Summerville, SC 29485-5901
Phone: (843) 875-8994
Fax: (843) 875-8981
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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 5916 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-13979 (NC)

Record details

NPI number1881752780
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Coastal Carolina Multispecialty Associates Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Summerville