Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly G Passarello, PA-C

Individual provider Physician Assistant · NPI 1639449697

Mrs. Kelly G Passarello, PA-C is a Physician Assistant in Summerville, South Carolina. Qualified in 2011, 15 years ago. Practices with Carolina Family Care Inc, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina and Texas.

Years since qualifying
15
Licensed in
SC, TX
In the registry since
2012
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

87 Springview Ln
Summerville, SC 29485-9077
Phone: (843) 876-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 1710 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA08170 (TX)

Record details

NPI number1639449697
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2012
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carolina Family Care Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Summerville