NPIMap

Individual provider Active NPI

Kelley Marie Corbett, NP-C

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1144749326
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25281 Issued in SC
Practice address
6 Doctors Dr
Greenville, SC 29605-4265
Phone
(864) 522-6430
Fax
(864) 522-6435
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175367 VA
Family Nurse Practitioner 363LF0000X 25281 SC Primary

Addresses

Primary practice location

6 Doctors Dr
Greenville, SC 29605-4265

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other identifiers 1

IdentifierTypeStateIssuer
NP8136MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180326000032 VA Practitioner - Nurse Practitioner 2860754298 Reassigns benefits to 2 organizations
I20220121002171 SC Practitioner - Nurse Practitioner 2860754298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

905 Verdae Blvd
Suite 202
Greenville, SC 29607-4029
Phone (864) 522-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25281SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Nov 15, 2021 Accepting new patients
Prisma Health University Medical Group CurrentSince Nov 15, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 9, 2018 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Jan 9, 2018 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Jun 1, 2018 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Jun 1, 2018 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

905 Verdae Blvd
Ste 202
Greenville, SC 29607
Phone (864) 522-2100

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

6 Doctors Dr
Greenville, SC 29605
Phone (864) 232-6221

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

20 S Stewart St
Ste 100
Winchester, VA 22601
Phone (540) 536-0130

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

Interoperability endpoints

  • Direct secure messaging: kjewett543484@direct.ghs.myhfn.org

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 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1144749326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054265",
            "telephone_number": "864-522-6430",
            "fax_number": "864-522-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "KELLEY",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175367",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP8136",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.