1. Home
  2. Directory
  3. South Carolina
  4. Anderson
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NICOLE SIENA NALLY D.O.
NPI 1073309944
Student in an Organized Health Care Education/Training Program in Anderson, SC

Active since April 17, 2025PECOS Enrolled
2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621(864) 512-1475 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Siena Nally D.o. NPPES

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

NICOLE SIENA NALLY D.O. (NPI 1073309944) is an individual student in an organized health care education/training program in Anderson, South Carolina and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073309944
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE SIENA NALLYCredential: D.O.
Location Address2000 E GREENVILLE ST STE 3700Anderson, SC 29621-1725
Mailing Address652 Herrons Ferry Rd Unit 408Rock Hill, SC 29730-0188
Phone(864) 512-1475
Sole ProprietorNo
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1073309944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2000 E GREENVILLE ST STE 3700, Anderson, SC 29621
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Siena Villa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Siena Nally D.o. 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.

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.

RYAN NALL MD
Student in an Organized Health Care Education/Training Program
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1115
KRISTOPHER GREGORY GROSS DO
Family Medicine
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1916
ANMED HEALTH FAMILY MEDICINE RESIDENCY
Family Medicine
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1475
CHRISTOPHER BICE CLEMOW MD
Family Medicine (Sports Medicine)
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1475
GRACE DAVIS RHODES
Student in an Organized Health Care Education/Training Program
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1115
KATELYN MARIE SAUNIER PHARMD
Pharmacist
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1927
MATTHEW SMITH DO
Family Medicine
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1000
JOEL CARTER DO
Student in an Organized Health Care Education/Training Program
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Anderson County (864) 512-1475

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 Nicole Nally's NPI number?

The NPI number for Nicole Nally is 1073309944. It was assigned to this individual provider in the NPPES registry on April 17, 2025. The provider is also known as Nicole Siena Villa.

Where is Nicole Nally located?

Nicole Nally practices at 2000 E Greenville St Ste 3700, Anderson, SC 29621. The listed phone number is (864) 512-1475.

What is Nicole Nally's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Nally enrolled in Medicare?

Yes. Nicole Nally is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Nally was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.