Active NPI
Kelly T Dion, MD
- Psychiatry Physician
- Columbia, SC
National Provider Identifier
1164651667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31795
- Practice address
- 3710 Landmark Dr Ste 202
Columbia, SC 29204-4034 - Phone
- (803) 708-9591
- Fax
- (803) 708-9661
- NPI assigned
- Jul 7, 2009
- Last updated
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31795 | SC | Primary |
Addresses
Primary practice location
3710 Landmark Dr Ste 202
Columbia, SC 29204-4034
Mailing address
3710 Landmark Dr Ste 202
Columbia, SC 29204-4034
Phone (803) 708-9591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317954 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth H Jeffords MD PA | Current | Accepting new patients | |
| Health Psychology Solutions of the Carolinas | Current | Accepting new patients |
Locations
3710 Landmark Dr
Ste 202
Columbia, SC 29204
Phone (803) 708-9591
Organizations & group practices 2
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.
-
- Child & Adolescent Psychiatry Physician
- Columbia, SC
- NPI 1265104392
-
- Adolescent and Children Mental Health Clinic/Center
- Columbia, SC
- NPI 1811669864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1164651667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 LANDMARK DR STE 202",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292044034",
"telephone_number": "803-708-9591",
"fax_number": "803-708-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 LANDMARK DR STE 202",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292044034",
"telephone_number": "803-708-9591",
"fax_number": "803-708-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DION",
"first_name": "KELLY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "31795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "317954",
"state": "SC"
}
],
"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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.