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

Mrs. Nicole C Keeter, PA-C

Individual provider Physician Assistant · NPI 1396997110

Mrs. Nicole C Keeter, PA-C is a Physician Assistant in Fort Mill, South Carolina. Graduated from George Washington University School of Medicine in 2008, 18 years ago. Practices with Advanced Dermatology of SC PC, a 34-clinician group and accepts Medicare assignment. Licensed in District of Columbia, South Carolina and Virginia.

Years since qualifying
18
Trained at
George Washington University School of Medicine
Licensed in
DC, SC, VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1700 1st Baxter Xing Ste 101
Fort Mill, SC 29708-8950
Phone: (803) 802-3376
Fax: (803) 802-3329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TL3251 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0110003081 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA030560 (DC)

Record details

NPI number1396997110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 13, 2008
Last updated in NPPESJune 17, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Advanced Dermatology Of Sc Pc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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