Individual provider Active NPI

Kelly Michelle Watts, NP-C

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1457115933
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28572 Issued in SC
Practice address
600 N Fant St
Anderson, SC 29621-5704
Phone
(864) 512-2000
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 28572 SC Primary

Addresses

Primary practice location

600 N Fant St
Anderson, SC 29621-5704

Mailing address

1000 Carlisle PL
Anderson, SC 29621-3684
Phone (864) 276-1948

Other practice location 1

3322 N Main St
Anderson, SC 29621-4108
Phone (864) 715-3309

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
I20240501003739 SC Practitioner - Nurse Practitioner 8325488760 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians
Primary Care Associates, PCGroup PAC ID 7911991716, 10 clinicians

Practice addresses (Care Compare)

3322 N Main St
Anderson, SC 29621-4108
Phone (864) 715-3309

726 Anderson St
Belton, SC 29627-2131
Phone (864) 512-6731

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28572SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Apr 8, 2024 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Oct 1, 2024 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Apr 8, 2024 Accepting new patients
Primary Care Associates, PC CurrentSince Jun 3, 2025 Accepting new patients
Anmed Health CurrentSince Apr 8, 2024 Accepting new patients

Locations

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

3322 N Main St
Anderson, SC 29621
Phone (864) 349-2900

2000 E Greenville St
Ste 1600
Anderson, SC 29621
Phone (803) 226-9193

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

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

726 Anderson St
Belton, SC 29627
Phone (864) 226-9193

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

Interoperability endpoints

  • Direct secure messaging: kwatts811074@direct.ghs.myhfn.org
  • Direct secure messaging: kcooley9430@direct.anmedhealth.net

Organizations & group practices 7

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 2

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1457115933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARLISLE PL",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213684",
            "telephone_number": "864-276-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215704",
            "telephone_number": "864-512-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 N Main St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296214108",
            "country_code": "US",
            "telephone_number": "864-715-3309",
            "fax_number": "864-715-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.