KELLEY GOFORTH DO
NPI 1295542884
Family Medicine in Greenwood, SC

Q: What is Kelley Goforth's NPI number?

The NPI number for Kelley Goforth is 1295542884. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Q: What is Kelley Goforth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Goforth was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 17, 2024PECOS Enrolled

155 ACADEMY AVE, GREENWOOD, SC 29646(864) 725-4865 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kelley Goforth Do NPPES

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

KELLEY GOFORTH DO (NPI 1295542884) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (94613) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295542884

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKELLEY GOFORTHCredential: DO

Location Address155 ACADEMY AVEGreenwood, SC 29646-3869

Mailing Address121 Westgate DrGreenwood, SC 29646-9231 · (813) 573-9998

Phone(864) 725-4865

Sole ProprietorNo

Enumeration DateDecember 17, 2024

Last NPPES UpdateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1295542884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 94613

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

155 ACADEMY AVE, Greenwood, SC 29646

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Goforth Do 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 29646 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.

FAITH BROWN

Student in an Organized Health Care Education/Training Program