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SOUTH CAROLINA PROVIDER SERVICES, LLC
NPI 1003413469
Nurse Practitioner - Adult Health in Clemson, SC

Active since October 07, 2020
500 DOWNS LOOP, CLEMSON, SC 29631(864) 650-7475 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, May 5, 2021, Mar 31, 2021 and 1 more (4 updates tracked since 2020).

About South Carolina Provider Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CAROLINA PROVIDER SERVICES, LLC (NPI 1003413469) is a healthcare organization registered as an adult health in Clemson, South Carolina and active in the NPI registry since October 2020. The organization maintains 6 additional practice locations and lists Gwendell Mcdaniel Kelley, Owner, as its authorized official.

NPPES Registry Identity

NPI1003413469
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSOUTH CAROLINA PROVIDER SERVICES, LLC
Location Address500 DOWNS LOOPClemson, SC 29631-2035
Mailing Address200 Browning RdCentral, SC 29630-9440 · (864) 650-7475
Phone(864) 650-7475
Organization SubpartNo
Authorized OfficialGwendell Mcdaniel KelleyOwner · (864) 650-7475
Enumeration DateOctober 7, 2020
Last NPPES UpdateApril 16, 20264 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1003413469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
500 DOWNS LOOP, Clemson, SC 29631
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1123 Couch LnEasley, SC 29642-1916 · Phone (864) 859-3303
Location 2214 McGee RdAnderson, SC 29625-2104 · Phone (864) 260-4515
Location 3701 Simpson RdAnderson, SC 29621-3077 · Phone (864) 226-5505
Location 4107 Perpetual SqAnderson, SC 29621-1713 · Phone (864) 712-4522
Location 5515 Benton StSeneca, SC 29672-6883 · Phone (864) 888-4114
Location 6999 W Union RdWest Union, SC 29696-2642 · Phone (864) 638-4370

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MONICA HAYES GIBSON PT
Physical Therapist
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 722-9059
WHITNEY WAITS-EASLEY CCC-SLP
Speech-Language Pathologist
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 654-1155
DENISE SANTANA ADDIS COTA/L
Occupational Therapy Assistant
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 654-1155
HALEY ELIZABETH MERCK M.S. CCC-SLP
Speech-Language Pathologist
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 654-1155
CHELSEY C. CRENSHAW OTD
Occupational Therapist
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 654-1155
JESSICA MARIE GARVEY OTR/L
Occupational Therapist
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 654-1155
MR. MATTHEW CAPE PTA
Physical Therapy Assistant
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 722-9059
TANYA HYATT PT
Physical Therapist
500 DOWNS LOOP
CLEMSON, SC 29631
Pickens County (864) 722-9059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Provider Services, LLC's NPI number?

The NPI number for South Carolina Provider Services, LLC is 1003413469. It was assigned to this organization in the NPPES registry on October 7, 2020.

Where is South Carolina Provider Services, LLC located?

South Carolina Provider Services, LLC is located at 500 Downs Loop, Clemson, SC 29631. The listed phone number is (864) 650-7475.

What is South Carolina Provider Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for South Carolina Provider Services, LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.