Active NPI
Kelly Caldwell, MA, MS, CCC-SLP
- Speech-Language Pathologist
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5784
- Practice address
- 1655 E Greenville St
Anderson, SC 29621 - Phone
- (864) 716-7750
- Fax
- (864) 716-7769
- NPI assigned
- Jun 24, 2015
- Last updated
- Aug 8, 2018
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5784 | SC | Primary |
Addresses
Primary practice location
1655 E Greenville St
Anderson, SC 29621
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 716-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Brody School of Medicine at East Carolina University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1655 E Greenville St
Anderson, SC 29621-2062
Phone (864) 512-8668
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5784 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health Voice Clinic | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1655 E Greenville St
Anderson, SC 29621
Phone (803) 224-6375
2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
Organizations & group practices 3
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 AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
dba AnMed Ent - Voice Clinic
- Speech-Language Pathologist
- Anderson, SC
- NPI 1972914919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1295117406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100174",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023174",
"telephone_number": "864-716-7750",
"fax_number": "864-716-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E GREENVILLE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-716-7750",
"fax_number": "864-716-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "KELLY",
"name_prefix": "Mrs.",
"credential": "MA, MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- 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.
- 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.