Gwendell McDaniel Kelley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22120 Issued in SC

Practice address

3424 Clemson Blvd
Anderson, SC 29621

Phone

(864) 261-3022

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Palmetto Geriatrics LLC 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anmed Home Health Agency Home health agency, Anderson, SC, CCN 427032
• Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
• Anmed Health Hospital, Anderson, SC, CCN 420027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Palmetto Geriatrics, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Florence, SC
  • NPI 1396178547

  SC

  Medicare reassignment Care Compare group NPD
• South Carolina Provider Services, LLC

  • Adult Health Nurse Practitioner
  • Clemson, SC
  • NPI 1003413469

  SC

  Medicare reassignment NPD Authorized official
• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059

  Family, SC

  Medicare reassignment NPD
• Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
  • NPI 1033890876

  SC

  Medicare reassignment NPD
• Rebirth Advanced Healing LLC

  • Specialist
  • Johnson City, TN
  • NPI 1174390413
  NPD
• Anderson Family Care, PA

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1942261185

  Family Medicine

  NPD (past)
• Med Central Health Resources, Inc

  • Adult Medicine Physician
  • Anderson, SC
  • NPI 1528028727
  NPD (past)

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

• Anmed Health

  • Home Health Agency
  • Anderson, SC
  • NPI 1376579474
  Care Compare affiliation
• Anmed Health

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531

  Hospital

  Care Compare affiliation
• Inspirium Ihc Upstate, LLC

  • Home Health Agency
  • Greenville, SC
  • NPI 1750897609
  Care Compare affiliation

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1194222539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROWNING RD",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296309440",
            "telephone_number": "864-650-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 CLEMSON BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621",
            "telephone_number": "864-261-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GWENDELL",
        "middle_name": "MCDANIEL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22120",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "86088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Keese, PT
• Keith W. Street DMD LLC
• Brian A. Keith, DOCTORATE IN PSYCHOL
• Rick J Keizer, M.D.
• Amalia Kelemen, O.T.
• Margaret Kelley, FNP-BC
• Thomas E Kelley, RPH
• Scott A Kellner, MD
• Jimmie Marlene Kelly
• John Wilson Kelly IV, M.D.

• All providers in Anderson, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.

Verify at the official NPI Registry.