Active NPI
Kevin Brennen Corley, APRN
- Nurse Practitioner
- Columbia, SC
National Provider Identifier
1639806375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26361
- Practice address
- 2435 Forest Dr
Columbia, SC 29204-2026 - Phone
- (803) 313-3234
- NPI assigned
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26361 | SC | Primary |
Addresses
Primary practice location
2435 Forest Dr
Columbia, SC 29204-2026
Mailing address
PO Box 23321
New York, NY 10087-3321
Phone (843) 792-6200
Other practice location 1
120 Gateway Corporate Blvd
Columbia, SC 29203-9611
Phone (803) 865-4500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300
Hospital & facility affiliations
- Musc Health Columbia Medical Center Downtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320
Interoperability endpoints
- kcorley381784@direct.musc.edu
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.
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1639806375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873321",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 FOREST DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042026",
"telephone_number": "803-313-3234"
}
],
"practiceLocations": [
{
"address_1": "120 Gateway Corporate Blvd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292039611",
"country_code": "US",
"telephone_number": "803-865-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORLEY",
"first_name": "KEVIN",
"middle_name": "BRENNEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-03",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "26361",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2435 Forest Dr",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292042026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.