Durwin Lee Kelly

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

201 W Montgomery St
Gaffney, SC 29341-1773

Phone

(864) 487-2721

Fax

(864) 487-2764

NPI assigned

Sep 16, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cherokee County Commission on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Gaffney, SC
  • NPI 1518965839
  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1184394579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MONTGOMERY ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411773",
            "telephone_number": "864-487-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MONTGOMERY ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411773",
            "telephone_number": "864-487-2721",
            "fax_number": "864-487-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DURWIN",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Jones, MA, ATC
• Sherri Jones
• Tom Scott Jones
• Robert Wayne Kaemmerlen, M.D.
• Craig Stephen Karriker, DMD
• Frieda Leeann Kerr, SLP
• Maddison Dawn Kesler, LPC-A
• Austin King
• Chasity Lynn Kirby, RN
• Elizabeth Page Kiser, DO

• Counselor in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.