Active NPI
Kelly Michelle Collins, NP
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1962296483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30221
- Practice address
- 136 Stonemark LN Ste 100C
Columbia, SC 29210-3881 - Phone
- (888) 704-4661
- Fax
- (888) 239-2595
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30221 | SC | Primary |
Addresses
Primary practice location
136 Stonemark LN Ste 100C
Columbia, SC 29210-3881
Mailing address
2050 Sunset Dr
Seneca, SC 29672-7959
Phone (864) 506-3232
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
136 Stonemark LN
Suite 100C
Columbia, SC 29210-3881
Phone (800) 932-2738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Care of South Carolina, LLC | Current | Accepting new patients |
Locations
136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661
187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469
Organizations & group practices 1
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Columbia, SC
- NPI 1174956098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1962296483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 SUNSET DR",
"city": "SENECA",
"state": "SC",
"postal_code": "296727959",
"telephone_number": "864-506-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 STONEMARK LN STE 100C",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292103881",
"telephone_number": "888-704-4661",
"fax_number": "888-239-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "KELLY",
"middle_name": "MICHELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-08",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "30221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.