Kelly A Yannizzi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40458 Issued in SC

Practice address

735 McMillan Rd
Clemson, SC 29634-4054

Phone

(864) 656-2233

Fax

(864) 656-0760

NPI assigned

Mar 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bon Secours Ambulatory Services - St. Francis, LLC

  dba AFC Urgent Care Bon Secours

  • Urgent Care Clinic/Center
  • Greenville, SC
  • NPI 1124495643
  Medicare reassignment NPD
• Clemson University-Redfern Health Center

  • Student Health Clinic/Center
  • Clemson, SC
  • NPI 1053437301
  NPD (past)
• Redfern Health Center

  • Clinic/Center
  • Clemson, SC
  • NPI 1003350281
  NPD (past)
• Woodruff Road Urgent Care Center, P.C.

  dba AFC Urgent Care

  • Primary Care Clinic/Center
  • Powdersville, SC
  • NPI 1205475001
  NPD (past)
• Methodist Healthcare - Memphis Hospitals

  dba MLH Shelby Oaks Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1225723133
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1710159694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 344054",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296340001",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNIZZI",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "50997",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "40458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary F Whitman
• Whitney Williams, NP-C
• Marion A Wills, M.D.
• Savannah Evelyn Winther
• Brooke Charlene Wymer, LMSW
• Yoga Therapy Bar LLC (Yoga Therapy Bar)
• Buffy Wooten York, NP-C
• William Ronald Young
• Ann Margaret Ludlow Yurco, OT
• Edward L. Zapf Jr., PT

• Family Medicine Physician in Clemson, SC
• Providers in Clemson, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.