DR. GRACE KELLY VALLEJO MD
NPI 1215564349
Psychiatry & Neurology - Psychiatry in West Columbia, SC
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, is affiliated with Long Island Community Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
22Medicare enrollment records show Grace Vallejo reassigns Medicare billing to 22 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Columbia, SC 29169
- Reassigned Medicare billing, South Carolina enrollment
- 1,219 clinicians in this Medicare group
Manning, SC 29102
- Reassigned Medicare billing, South Carolina enrollment
- 215 clinicians in this Medicare group
Florence, SC 29506
- Reassigned Medicare billing, South Carolina enrollment
- 816 clinicians in this Medicare group
Dillon, SC 29536
- Reassigned Medicare billing, South Carolina enrollment
- 126 clinicians in this Medicare group
Loris, SC 29569
- Reassigned Medicare billing, South Carolina enrollment
- 240 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Alabama and Georgia enrollments
- Also billed through NPI 1154377166 (Georgia)
- 15 clinicians in this Medicare group
Cookeville, TN 38501
- Reassigned Medicare billing, Tennessee enrollment
- 151 clinicians in this Medicare group
Buckhannon, WV 26201
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: St Joseph's Hospital Of Buckhannon Inc
- 189 clinicians in this Medicare group
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 1,304 clinicians in this Medicare group
Memphis, TN 38125
- Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
- 95 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Community Hospital
Acute Care Hospitals · Patchogue, NYPhysician 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
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 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.
Where is Grace Vallejo located?
Grace Vallejo practices at 146 E Hospital Dr Ste 120A, West Columbia, SC 29169. The listed phone number is (803) 936-7460.
What is Grace Vallejo's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Grace Vallejo enrolled in Medicare?
Yes. Grace Vallejo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Grace Vallejo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Vallejo reassigns Medicare benefits to 22 organizations: Lexington Health Inc (West Columbia, SC), Mcleod Health Clarendon (Manning, SC), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC), Mcleod Medical Center-Dillon (Dillon, SC), Mcleod Loris Seacoast Hospital (Loris, SC) and 17 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Vallejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Vallejo accept?
Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Cigna Healthcare and 7 other insurers list Grace Vallejo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Grace Vallejo affiliated with any hospitals?
According to CMS data, Grace Vallejo is affiliated with Long Island Community Hospital.
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 5 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.
# Dr. Grace Kelly Vallejo, MD · NPI 1215564349
Psychiatry physician in West Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1215564349 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 4301512093 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 146 E HOSPITAL DR STE 120A, West Columbia, SC 29169-4800
- **Phone:** (803) 936-7460 · **Fax:** (803) 936-7462
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 22 organizations under Medicare reassignment (form CMS-855R): Lexington Health Inc (NPI 1750989968, West Columbia, SC); Mcleod Health Clarendon (NPI 1508218793, Manning, SC); Mcleod Regional Medical Center Of The Pee Dee, Inc (NPI 1154371433, Florence, SC); Mcleod Medical Center-Dillon (NPI 1720033988, Dillon, SC); Mcleod Loris Seacoast Hospital (NPI 1265708119, Loris, SC); and 17 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215564349) · Data from the CMS NPPES public registry.