DR. GRACE KELLY VALLEJO MD
NPI 1215564349
Psychiatry & Neurology - Psychiatry in West Columbia, SC

Q: What is Grace Vallejo's NPI number?

The NPI number for Grace Vallejo is 1215564349. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Grace Vallejo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Grace Vallejo was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

146 E HOSPITAL DR STE 120A, WEST COLUMBIA, SC 29169(803) 936-7460(803) 936-7462 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, Sep 16, 2025, Oct 10, 2024 and 4 more (7 updates tracked since 2020).

On this page

About Dr. Grace Kelly Vallejo Md NPPES

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

DR. GRACE KELLY VALLEJO MD (NPI 1215564349) is an individual psychiatry provider in West Columbia, South Carolina, licensed in Michigan (4301512093) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215564349

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. GRACE KELLY VALLEJOCredential: MD

Location Address146 E HOSPITAL DR STE 120AWest Columbia, SC 29169-4800

Mailing AddressPo Box 405827Atlanta, GA 30384-5827

Phone(803) 936-7460

Fax(803) 936-7462

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateMay 19, 20267 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1215564349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MI · 4301512093✔ Licensed in SC · 93769

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 71490 (TN)

146 E HOSPITAL DR STE 120A, West Columbia, SC 29169

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Secondary Practice Locations 4

Location 14000 Wellness DrMidland, MI 48670-2113 · Phone (989) 839-3538

Location 21700 Medical Center PkwyMurfreesboro, TN 37129-2245 · Phone (615) 396-4100

Location 38900 Van Wyck ExpyJamaica, NY 11418-2832 · Phone (718) 206-7708

Location 41 Ford Pl Ste 1CDetroit, MI 48202-3450 · Phone (313) 874-6677

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Arkansas Blue Cross and Blue Shield, Blue Care Network of Michigan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Grace Kelly Vallejo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547703993

PECOS Enrollment IDI20240613003920, I20241022004632, I20250217000089, I20260113002070

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 29169 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

$163.84 typical visit price

range $53.57 – $163.84

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

Most-billed visit code 99205

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

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 18

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

JORDAN R BARHAM NP-C

Nurse Practitioner (Adult Health)