Individual Healthcare Provider
Kaitlyn Waldo
Provider's NPPES record last updated: February 13, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1679369185
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Lexington, South Carolina
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:40 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X Internal Medicine
Critical Care Medicine
Allopathic & Osteopathic Physicians
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Taxonomy code 207RC0200X
Provider-Reported License Information
- Physician Assistant (South Carolina)
- 5842
- Internal Medicine (South Carolina)
- MPA.5842
Practice Locations
Practice Location
104 Saluda Pointe Dr
Lexington, South Carolina 29072-7295
Phone: (803) 296-7846
Additional Practice Location
1333 Taylor St Ste 6f
Columbia, South Carolina 29201-2953
Phone: (803) 296-3273
Fax: (803) 296-7061
Additional Practice Location
6 Medical Park Rd
Columbia, South Carolina 29203
Phone: (201) 937-5162
Record Information
- Enumeration Date
- April 19, 2025
- Provider's NPPES Record Last Updated
- February 13, 2026
- Certification Date
- February 13, 2026
- NPISignal NPPES Dataset
- August 2026
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