Individual provider · Type 1 NPI

Mykenzi Gibbs, PA-C

Medical Physician Assistant · Columbia, SC

NPI number 1053733394 Active

Practice location

8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006

Call (803) 434-3800 Map

Fax (803) 744-2759

Mailing address

220 Sailing Club Dr
Columbia, SC 29229-7359

Other practice locations

  • 700 S Park St Ste A, Madison, WI 53715-1830 · (608) 260-2900
  • 350 N Wilmot Rd, Tucson, AZ 85711-2602 · (520) 296-3211

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X8248-23 (WI)
Physician Assistant 363A00000X11882 (AZ)
Medical Physician Assistant Primary 363AM0700X2021 (SC)

Medical Physician Assistant: Definition to come...

40 other providers at this address

Other medical physician assistant providers in Columbia

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About NPI 1053733394

Mykenzi Gibbs, PA-C's National Provider Identifier is 1053733394, issued on Jan 6, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbia, SC. The record was last updated on Sep 10, 2026.