Ann J Kelly, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

13547 Issued in SC

Practice address

319 S Buncombe Rd
Greer, SC 29650-1207

Phone

(864) 877-3883

Fax

(864) 877-7937

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21299/brand/1/csg/1/fhir/r4

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.

• Spartanburg & Pelham OB-GYN,P.a.

  • Obstetrics Physician
  • Spartanburg, SC
  • NPI 1861447682

  Specialist

  NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1902862402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "863-234-5800",
            "fax_number": "864-284-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S BUNCOMBE RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501207",
            "telephone_number": "864-877-3883",
            "fax_number": "864-877-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "13547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13547",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua C Keels, DC
• Carly Keenan, DO
• Derek T Kelkenberg
• Kellar Surgical
• Kevin Metz Keller, MD
• Kemp Chiropractic Center, LLC
• Nina Richelle Kennedy, D.C.
• Jeremie Michael Kenney, FNP-C
• Ann Alexander Kent, LMFT-A
• Meredith Ketchum, COTA/L

• Specialist in Greer, SC
• Providers in Greer, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.