Active NPI
Brittany Kelly, MD
- Student in an Organized Health Care Education/Training Program
- West Columbia, SC
National Provider Identifier
1295585602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 145 Sunset CT Ste 100
West Columbia, SC 29169-2429 - Phone
- (803) 739-3550
- Fax
- (803) 739-3546
- NPI assigned
- Mar 26, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
145 Sunset CT Ste 100
West Columbia, SC 29169-2429
Mailing address
126 Laurel Crossing Dr
Lugoff, SC 29078-9194
Phone (803) 608-7656
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkelly175572@direct.lexmed.com |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241023004306 | SC | Order and Referring Only - Family Practice | 9335672740 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1295585602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 LAUREL CROSSING DR",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789194",
"telephone_number": "803-608-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SUNSET CT STE 100",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291692429",
"telephone_number": "803-739-3550",
"fax_number": "803-739-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "BRITTANY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkelly175572@direct.lexmed.com",
"affiliation": "N",
"address_1": "145 Sunset Ct Ste 100",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291692429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.