Individual provider Active NPI

Kelly Anne Young, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1831950773
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28279 Issued in SC
Practice address
1333 Taylor St Ste 1B
Columbia, SC 29201-2944
Phone
(803) 434-6838
Fax
(803) 434-6878
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28279 SC Primary

Addresses

Primary practice location

1333 Taylor St Ste 1B
Columbia, SC 29201-2944

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8603

Other practice location 1

1410 Wilson Rd
Newberry, SC 29108-3050
Phone (803) 276-2186

Other practice location 2

100 Palmetto Health Pkwy Ste 104
Columbia, SC 29212-1754
Phone (803) 820-0005

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
I20240416001987 SC Practitioner - Nurse Practitioner 8224477856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

100 Palmetto Health Pkwy
Suite 104
Columbia, SC 29212-1754
Phone (803) 820-0005

200 Patewood Dr
Suite C300
Greenville, SC 29615-6324
Phone (864) 454-8272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28279SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince May 1, 2025 Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

1014 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 556-5585

100 Palmetto Health Pkwy
Ste 104
Columbia, SC 29212
Phone (803) 434-5668

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

1410 Wilson Rd
Newberry, SC 29108
Phone (803) 276-2186

Interoperability endpoints

  • Direct secure messaging: kelly.young.1@28492.direct.athenahealth.com
  • Direct secure messaging: kelly.young.1@22263.direct.athenahealth.com
  • Direct secure messaging: kyoung843972@direct.ghs.myhfn.org

Organizations & group practices 3

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1831950773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 TAYLOR ST STE 1B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012944",
            "telephone_number": "803-434-6838",
            "fax_number": "803-434-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291083050",
            "country_code": "US",
            "telephone_number": "803-276-2186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Palmetto Health Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121754",
            "country_code": "US",
            "telephone_number": "803-820-0005",
            "fax_number": "803-820-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.