Individual provider Active NPI

Kala Gillespie, FNP-C

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1346699428
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20222 Issued in SC
Practice address
703B N Fant St
Anderson, SC 29621-5705
Phone
(864) 512-2828
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20222 SC Primary

Addresses

Primary practice location

703B N Fant St
Anderson, SC 29621-5705

Mailing address

703 N Fant St
Anderson, SC 29621-5705
Phone (864) 512-2828

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
I20161102000190 SC Practitioner - Nurse Practitioner 8729366372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

703 N Fant St
Anderson, SC 29621-1580
Phone (864) 972-0414

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20222SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Nov 30, 2020 Accepting new patients
Anmed Health CurrentSince Nov 30, 2020 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Past Accepting new patients

Locations

703 N Fant St
#B
Anderson, SC 29621
Phone (864) 512-2828

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

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

703 N Fant St
Anderson, SC 29621
Phone (864) 225-5059

Interoperability endpoints

  • Direct secure messaging: kgillespie41788@direct.anmedhealth.net

Organizations & group practices 4

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1346699428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215705",
            "telephone_number": "864-512-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703B N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215705",
            "telephone_number": "864-512-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "KALA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.