Individual provider Active NPI

Victoria Michelle Kennedy, FNP

  • Family Nurse Practitioner
  • Ladson, SC
National Provider Identifier
1043477912
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3438 Issued in SC
Practice address
3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone
(843) 793-5970
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3438 SC Primary

Addresses

Primary practice location

3495 Iron Horse Rd
Ladson, SC 29456-4319

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727

Other practice location 1

418 Folly Rd Ste A
Charleston, SC 29412-2625
Phone (843) 795-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014000571 SC Practitioner - Nurse Practitioner 3577797299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians

Practice addresses (Care Compare)

2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700

3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone (843) 695-6071

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 21, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 21, 2025 Accepting new patients
Curana Health of South Carolina PC CurrentSince Aug 8, 2021 Accepting new patients
CH Specialty Services SC LLC Family CurrentSince May 15, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

3495 Iron Horse Rd
Ladson, SC 29456
Phone (843) 793-5970

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1043477912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-572-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 IRON HORSE RD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564319",
            "telephone_number": "843-793-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Folly Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294122625",
            "country_code": "US",
            "telephone_number": "843-795-5362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VICTORIA",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.