NPIMap

Individual provider Active NPI

Kelly A Bridges, MD

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
National Provider Identifier
1568415768
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22978 Issued in SC
Practice address
1686 Skylyn Dr
Suite 101
Spartanburg, SC 29307
Phone
(864) 585-3456
NPI assigned
May 18, 2006
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22978 SC Primary

Addresses

Primary practice location

1686 Skylyn Dr
Suite 101
Spartanburg, SC 29307

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other identifiers 3

IdentifierTypeStateIssuer
229782MedicaidSC
H595876162OtherSCMEDICARE PIN
P00691795OtherSCRR MEDICARE

Other names 1

  • Kelly A Cobb Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbridges37372@direct-srhs.et0939.epichosted.com Direct

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
I20070212000540 SC Practitioner - Obstetrics/Gynecology 2365444890 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000

2995 Reidville Rd
Suite 290
Spartanburg, SC 29301-5667
Phone (864) 574-4483

475 Heywood Ave
Spartanburg, SC 29307-1726
Phone (864) 699-5020

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 the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Apr 22, 2018 Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Dec 31, 2008 Accepting new patients
Spartanburg Medical Center CurrentSince Dec 31, 2008 Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

3941 Highway 9
Ste 201
Boiling Springs, SC 29316

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

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

1686 Skylyn Dr
Ste 101
Spartanburg, SC 29307
Phone (864) 560-3456

2995 Reidville Rd
Ste 290
Spartanburg, SC 29301
Phone (864) 574-4483

475 Heywood Ave
Spartanburg, SC 29307
Phone (864) 699-5020

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

853 N Church St
Ste 600
Spartanburg, SC 29303
Phone (864) 583-4556

Interoperability endpoints

  • Direct secure messaging: kbridges37372@direct-srhs.et0939.epichosted.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1568415768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 SKYLYN DR",
            "address_2": "SUITE 101",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-585-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "22978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229782",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "H595876162",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00691795",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbridges37372@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kbridges37372@direct-srhs.et0939.epichosted.com",
            "address_1": "1686 Skylyn Dr",
            "address_2": "Suite 101",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "COBB",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.