NPIMap

Individual provider Active NPI

Kyle K Nelson, DO

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1316998180
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00647 Issued in SC
Practice address
1520 Whitehall Rd
Anderson, SC 29625-1916
Phone
(864) 512-5984
Fax
(864) 512-7586
NPI assigned
May 15, 2006
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00647 SC Primary

Addresses

Primary practice location

1520 Whitehall Rd
Anderson, SC 29625-1916

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000560 SC Practitioner - Family Practice 4880652270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0647SCMDPediatric Dentist
00647SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Anmed Health Family Medicine CurrentSince Jan 4, 2022 Accepting new patients
Upstate Family Medicine LLC Family Medicine PastSince Jan 3, 2005 Accepting new patients
Anmed Health Past Accepting new patients
Anmed Health Past Accepting new patients
Anmed Health Past Accepting new patients
Anmed Health Past Accepting new patients
Anmed Health Past Accepting new patients
Anmed Health Family Medicine Past Accepting new patients
Anmed Health Past Accepting new patients
Anmed Health Past Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

1520 Whitehall Rd
Anderson, SC 29625
Phone (864) 226-1899

1655 E Greenville St
#A
Anderson, SC 29621
Phone (864) 224-6375

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

331 Antreville Hwy
Iva, SC 29655
Phone (864) 348-6122

Interoperability endpoints

  • Direct secure messaging: knelson8015@direct.anmedhealth.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1316998180",
    "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": "864-512-5984",
            "fax_number": "864-512-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 WHITEHALL RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251916",
            "telephone_number": "864-512-5984",
            "fax_number": "864-512-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KYLE",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "00647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.