Organization Active NPI

Vital Access LLC

Doing business as Vital Access

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1689472631
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITAL ACCESS LLC
Doing business as
Vital Access
Vital Access LLC
Practice address
7201 Parklane Rd Ste L
Columbia, SC 29223-7648
Phone
(803) 451-0698
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Vanesia D Kelly, NPNPI 1912465154
Title
Ceo
Phone
(803) 451-0698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7201 Parklane Rd Ste L
Columbia, SC 29223-7648

Mailing address

7201 Parklane Rd Ste L
Columbia, SC 29223-7648
Phone (803) 451-0698

Other names 2

  • Vital Access Doing business as
  • Vital Access LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002000617 SC Part B Supplier - Clinic/Group Practice 7012413677 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

7201 Parklane Rd
Columbia, SC 29223
Phone (347) 284-6541

7201 Parklane Rd
Ste L
Columbia, SC 29223
Phone (803) 451-0698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689472631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 PARKLANE RD STE L",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237648",
            "telephone_number": "803-451-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 PARKLANE RD STE L",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237648",
            "telephone_number": "803-451-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "VANESIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-451-0698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Access",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Access LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.