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KELISA MATIAS MD
NPI 1235931387
Student in an Organized Health Care Education/Training Program in Florence, SC

Active since March 26, 2025
555 E CHEVES ST, FLORENCE, SC 29506(843) 777-2800 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelisa Matias Md NPPES

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

KELISA MATIAS MD (NPI 1235931387) is an individual student in an organized health care education/training program in Florence, South Carolina and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1235931387
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELISA MATIASCredential: MD
Location Address555 E CHEVES STFlorence, SC 29506-2617
Mailing Address555 E Cheves StFlorence, SC 29506-2617
Phone(843) 777-2800
Sole ProprietorYes
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1235931387 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.
555 E CHEVES ST, Florence, SC 29506
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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.

MR. MICHAEL EUGENE MONTROSE OTR
Occupational Therapist
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-6714
JACKIE MCLEAN PTA
Physical Therapy Assistant
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2250
MRS. CALLIE HANSON CARPENTER F.N.P
Nurse Practitioner (Family)
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2000
DR. SATYA DATLA M.D.
Internal Medicine
555 E CHEVES ST, MCLEOD REGIONAL MEDICAL CENTER
FLORENCE, SC 29506
Florence County (248) 990-5955
SOMER PYE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2000
KAITLYN GANNON PA-C
Physician Assistant
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2000
MS. RACHEL BOWEN CAULDER CRNA
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 661-6215
MR. SCOTT GREGORY SAYLOR CRNA
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-8752

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 Kelisa Matias's NPI number?

The NPI number for Kelisa Matias is 1235931387. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Kelisa Matias located?

Kelisa Matias practices at 555 E Cheves St, Florence, SC 29506. The listed phone number is (843) 777-2800.

What is Kelisa Matias's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelisa Matias was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.