Individual provider Active NPI

Kimberly Denise Fleming, APRN

  • Gerontology Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1306498969
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
23039 Issued in SC
Practice address
1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone
(800) 491-0909
NPI assigned
Jul 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 23039 SC Primary

Addresses

Primary practice location

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169

Mailing address

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone (800) 491-0909

Other practice location 1

1100 E Cheves St
Florence, SC 29506-2708
Phone (843) 669-6694

Other practice location 2

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-5000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109002717 SC Practitioner - Nurse Practitioner 4587074299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Florence Nephrology Associates, LLCGroup PAC ID 6901285071, 3 clinicians

Practice addresses (Care Compare)

101 William H Johnson St
Suite 430
Florence, SC 29506-2769
Phone (843) 777-7290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23039SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Nephrology Associates, LLC CurrentSince Mar 1, 2025 Accepting new patients
SC House Calls Inc CurrentSince Nov 16, 2020 Accepting new patients
SC House Calls Inc CurrentSince Nov 16, 2020 Accepting new patients
Advanced Nutrition Consultants Inc PastSince Apr 2, 2014 Accepting new patients
Pee Dee Nephrology LLP PastSince Jul 1, 1990 Accepting new patients

Locations

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

101 William H Johnson St
Ste 430
Florence, SC 29506
Phone (843) 777-7290

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1306498969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062708",
            "country_code": "US",
            "telephone_number": "843-669-6694",
            "fax_number": "843-679-4972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Pamplico Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295056047",
            "country_code": "US",
            "telephone_number": "843-674-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KIMBERLY",
        "middle_name": "DENISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "23039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.