Individual provider Active NPI

Kevin Council Coppedge, D.O.

  • Hospitalist Physician
  • Clinton, SC
National Provider Identifier
1457762973
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
83403 Issued in SC
Practice address
22725 Highway 76 E
Clinton, SC 29325-7527
Phone
(864) 833-9100
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102204536 VA
Hospitalist Physician 208M00000X 83403 SC Primary
Internal Medicine Physician 207R00000X 83403 SC

Addresses

Primary practice location

22725 Highway 76 E
Clinton, SC 29325-7527

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 455-4411

Other practice location 1

1304 Springdale Dr
Clinton, SC 29325-7226
Phone (864) 833-6287

Other practice location 2

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Other practice location 3

701 Grove Rd Fl 5
Greenville, SC 29605-4210
Phone (864) 455-4411

Other practice location 4

1900 Electric Rd
Salem, VA 24153-7474
Phone (704) 649-2017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170712002384 VA Practitioner - Internal Medicine 8426372822 Reassigns benefits to 4 organizations
I20210128001777 SC Practitioner - HospitalistPractitioner - Internal Medicine 8426372822 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

701 Grove Rd
Suite 5
Greenville, SC 29605-4210
Phone (864) 455-4411

Hospital & facility affiliations

  • Prisma Health Hospice of the Foothills Hospice, Seneca, SC, CCN 421508
  • Prisma Health Laurens County Hospital Hospital, Clinton, SC, CCN 420038
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102204536VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Jan 25, 2021 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Jan 25, 2021 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Pelham Medical Center CurrentSince Jan 25, 2021 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Wildwood Physician Services, LLC CurrentSince Jun 21, 2018 Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince Jan 25, 2021 Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince Mar 10, 2021 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2022 Accepting new patients
Ingleside Physician Services, LLC Hospitalist CurrentSince Jul 1, 2018 Accepting new patients
Kingsford Physician Services, LLC Hospitalist CurrentSince Jul 3, 2018 Accepting new patients
Lake Spring Physician Services, LLC Hospitalist CurrentSince Jun 29, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 10, 2021 Accepting new patients
Prisma Health-Upstate Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

805 Pamplico Hwy
Ste A
Florence, SC 29505
Phone (843) 665-9581

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: kcoppedge494181@direct.ghs.myhfn.org
  • Direct secure messaging: kevin.coppedge@hca6.eclinicaldirectplus.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1457762973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-455-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257226",
            "country_code": "US",
            "telephone_number": "864-833-6287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 S Main St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607017",
            "country_code": "US",
            "telephone_number": "540-951-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Grove Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "704-649-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPEDGE",
        "first_name": "KEVIN",
        "middle_name": "COUNCIL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204536",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "83403",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "83403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.