Active NPI
Kelly Michele Myers, FNP-C
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.24371
- Practice address
- 3025 Farrow Rd
Columbia, SC 29203-7001 - Phone
- (803) 929-6242
- NPI assigned
- Mar 25, 2021
- Last updated
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN.24371 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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. | 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 | 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.
-
dba Sandhills Medical Foundation-Bethune
- Federally Qualified Health Center (FQHC)
- Bethune, SC
- NPI 1083228779
-
- Federally Qualified Health Center (FQHC)
- McBee, SC
- NPI 1568541597
-
dba Sandhills Medical Foundation- Pageland
- Federally Qualified Health Center (FQHC)
- Pageland, SC
- NPI 1780398461
-
- Federally Qualified Health Center (FQHC)
- Ruby, SC
- NPI 1922584481
-
- Federally Qualified Health Center (FQHC)
- Kershaw, SC
- NPI 1386902542
-
- Federally Qualified Health Center (FQHC)
- Lugoff, SC
- NPI 1487712923
-
- Federally Qualified Health Center (FQHC)
- Camden, SC
- NPI 1720372949
-
- Federally Qualified Health Center (FQHC)
- Sumter, SC
- NPI 1780742825
-
- Federally Qualified Health Center (FQHC)
- McBee, SC
- NPI 1780640623
-
- Federally Qualified Health Center (FQHC)
- Jefferson, SC
- NPI 1912065467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Tuomey Hosptial
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.