Martha Kelly, MCSD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8376 Issued in SC

Practice address

2801 Pelham Rd
Greenville, SC 29615-4101

Phone

(864) 816-0843

NPI assigned

Mar 8, 2024

Last updated

Mar 11, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1952169526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E GEORGIA STREET",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "29388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154101",
            "telephone_number": "864-816-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARTHA",
        "credential": "MCSD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Kelly, PA-C
• Debbie S Kelly, CRNA
• Desmond Peyton Kelly, M.D.
• John William Kelly, M.D.
• Kevin Michael Kelly
• Michael W. Kelly, M.D.
• Misti Lorrain Kelly, RN
• Omni Kelly
• Rebecca Collins Kelly, PT
• Mark Allen Kemble, M.D.

• Speech-Language Pathologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.