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

Walter R Kirby, PA-C

Individual provider Physician Assistant · NPI 1649414905

Walter R Kirby, PA-C is a Physician Assistant in Fairfax, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2014, 12 years ago. Practices with Low Country Health Care System Inc, a 34-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2009
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

333 Revolutionary Trl
Fairfax, SC 29827-7109
Phone: (803) 632-2533
Fax: (803) 632-2451
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2214 (SC)

Record details

NPI number1649414905
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2009
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Low Country Health Care System Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare