KELLI GREGG MADDOX
NPI 1013584341
Nurse Practitioner in Columbia, SC

Q: What is Kelli Maddox's NPI number?

The NPI number for Kelli Maddox is 1013584341. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Q: What is Kelli Maddox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Maddox was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since June 07, 2021PECOS Enrolled

1601 GREENE ST, COLUMBIA, SC 29208(803) 777-7412 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Jun 7, 2021 (2 updates tracked since 2021).

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About Kelli Gregg Maddox NPPES

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

KELLI GREGG MADDOX (NPI 1013584341) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (25503) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1013584341

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLI GREGG MADDOX

Location Address1601 GREENE STColumbia, SC 29208-4001

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(803) 777-7412

Sole ProprietorNo

Enumeration DateJune 7, 2021

Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2022

✔ NPI 1013584341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 25503

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1601 GREENE ST, Columbia, SC 29208

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Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-4001 · Phone (843) 792-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Gregg Maddox is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SHERONDA QUILLER SMITH

Nurse Practitioner (Psychiatric/Mental Health)