Active NPI
Keerti Priya Vajrala
- Pediatrics Physician
- Greenville, SC
National Provider Identifier
1326807231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- LL94573
- Practice address
- 701 Grove Road
Balcony Suite 5
Greenville, SC 29605 - Phone
- (864) 455-7895
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL94573 | SC | Primary |
Addresses
Primary practice location
701 Grove Road
Balcony Suite 5
Greenville, SC 29605
Mailing address
701 Grove Road
Balcony Suite 5
Greenville, SC 29605
Phone (864) 455-7895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL94573 | SC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1326807231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 GROVE ROAD",
"address_2": "BALCONY SUITE 5",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "864-455-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE ROAD",
"address_2": "BALCONY SUITE 5",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "864-455-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAJRALA",
"first_name": "KEERTI",
"middle_name": "PRIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2025-08-04",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL94573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.