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

Mykenzi Gibbs, PA-C

Individual provider Physician Assistant · NPI 1053733394

Mykenzi Gibbs, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2013, 13 years ago. Practices with Beaufort County Memorial Hospital, a 199-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Wisconsin.

Years since qualifying
13
Licensed in
SC, WI
In the registry since
2014
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

8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006
Phone: (803) 434-3800
Fax: (803) 744-2759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 S Park St Ste A, Madison, WI 53715-1830 — (608) 260-2900

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2021 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 8248-23 (WI)

Record details

NPI number1053733394
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 6, 2014
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Beaufort County Memorial Hospital — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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