Individual provider Active NPI

Vanesia Davis Kelly, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1912465154
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22696 Issued in SC
Practice address
SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone
(800) 491-0909
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 22696 SC Primary

Addresses

Primary practice location

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203

Mailing address

7201 Parklane Rd Ste L
Columbia, SC 29223-7648
Phone (803) 603-4603

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
I20230501001323 SC Practitioner - Nurse Practitioner 8527423318 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22696SCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Access LLC Family CurrentSince Jul 8, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 18, 2023 Accepting new patients
SC House Calls Inc CurrentSince Jun 1, 2023 Accepting new patients
SC House Calls Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

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

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

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

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1912465154",
    "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": "803-603-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "VANESIA",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.