Individual provider Active NPI

Kelly Michele Myers, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1164009395
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.24371 Issued in SC
Practice address
3025 Farrow Rd
Columbia, SC 29203-7001
Phone
(803) 929-6242
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 APN.24371 SC Primary

Addresses

Primary practice location

3025 Farrow Rd
Columbia, SC 29203-7001

Mailing address

3025 Farrow Rd
Columbia, SC 29203-7001
Phone (803) 933-0288

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
I20230706001688 SC Practitioner - Nurse Practitioner 7416316690 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandhills Medical Foundation, Inc.Group PAC ID 8224949821, shared by 10 NPIs, 26 clinicians

Practice addresses (Care Compare)

103 Main St N
BLDG N
Bethune, SC 29009-9750
Phone (843) 334-7145

126 N Pearl St
Pageland, SC 29728-1925
Phone (843) 675-5004

290 Market St
Ruby, SC 29741-2900
Phone (803) 778-2442

645 S 7TH St
MC Bee, SC 29101-7101
Phone (843) 335-8291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.24371SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Medical Foundation, Inc. CurrentSince Feb 4, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Feb 4, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Feb 4, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Apr 5, 2024 Accepting new patients
Sandhills Medical Foundation Past Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients

Locations

103 Main St N
Bethune, SC 29009
Phone (843) 334-6551

103 Main St N
Bldg N
Bethune, SC 29009
Phone (843) 334-7145

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718
Phone (843) 658-3005

205 W Marion St
Kershaw, SC 29067
Phone (803) 475-4701

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 408-3262

645 S Seventh St
Mc Bee, SC 29101
Phone (803) 475-4701

727 S Seventh St
Mc Bee, SC 29101
Phone (843) 335-8291

126 N Pearl St
Pageland, SC 29728
Phone (843) 675-5004

30 Cuttino Rd
Sumter, SC 29150
Phone (803) 778-2442

Organizations & group practices 10

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

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1164009395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037001",
            "telephone_number": "803-933-0288",
            "fax_number": "803-933-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037001",
            "telephone_number": "803-929-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KELLY",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.24371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.