Individual provider Active NPI

Kelly A McManis, APRN

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1619430501
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25400 Issued in SC
Practice address
SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone
(800) 491-0909
Fax
(864) 442-4126
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.024394 OH
Nurse Practitioner 363L00000X 3013368 KY
Family Nurse Practitioner 363LF0000X 25400 SC
Nurse Practitioner 363L00000X 25400 SC Primary

Addresses

Primary practice location

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203

Mailing address

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone (800) 491-0909

Other practice location 1

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Other practice location 2

5151 Pfeiffer Rd Ste 350
Blue Ash, OH 45242-4854
Phone (833) 358-2036

Other practice location 3

50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660
Phone (833) 358-2278

Other practice location 4

1 Medical Village Drive
Edgewood, KY 41017-2439
Phone (859) 212-4468

Other identifiers 1

IdentifierTypeStateIssuer
NP7919MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mcmaniskelly@yahoo.com Health Information Exchange (HIE)

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
I20211015002294 SC Practitioner - Nurse Practitioner 1052744984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

1624 Main St
Columbia, SC 29201-2818
Phone (803) 454-0365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024394OHMDAcute Care Nurse Practitioner
25400SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Mar 21, 2023 Accepting new patients
SC House Calls Inc CurrentSince Mar 21, 2023 Accepting new patients
Pinnacle Physicians, LLC CurrentSince Dec 19, 2023 Accepting new patients
Summit Medical Group, PLLC PastSince Dec 1, 2019 Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

9181 Medcom St
North Charleston, SC 29406
Phone (843) 820-7767

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: kelly.mcmanis.1@7602.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1619430501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909",
            "fax_number": "859-212-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909",
            "fax_number": "864-442-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 State Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452552439",
            "country_code": "US",
            "telephone_number": "513-624-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 Pfeiffer Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424854",
            "country_code": "US",
            "telephone_number": "833-358-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 E Rivercenter Blvd Ste 434",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111660",
            "country_code": "US",
            "telephone_number": "833-358-2278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Village Drive",
            "address_purpose": "LOCATION",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172439",
            "country_code": "US",
            "telephone_number": "859-212-4468",
            "fax_number": "859-212-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANIS",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.024394",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013368",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7919",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mcmaniskelly@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Franklin Square Way Ste A",
            "city": "Easley",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296423715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.