Active NPI
Kelly Jennifer Molina Campos, NP
- Family Medicine Physician
- Charleston, SC
National Provider Identifier
1609732957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0024195340
- Practice address
- 218 Howle Ave Ste a
Charleston, SC 29412-2449 - Phone
- (833) 225-3558
- NPI assigned
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0024195340 | VA | Primary |
Addresses
Primary practice location
218 Howle Ave Ste a
Charleston, SC 29412-2449
Mailing address
218 Howle Ave Ste a
Charleston, SC 29412-2449
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024195340 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1609732957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 HOWLE AVE STE A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 HOWLE AVE STE A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122449",
"telephone_number": "833-225-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA CAMPOS",
"first_name": "KELLY",
"middle_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-30",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0024195340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.