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DESMOND PEYTON KELLY M.D.
NPI 1295787844
Pediatrics - Developmental - Behavioral Pediatrics in Greenville, SC

Active since May 16, 2006PECOS Enrolled
200 PATEWOOD DR, SUITE A200, GREENVILLE, SC 29615(864) 454-5115 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desmond Peyton Kelly M.d. NPPES

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

DESMOND PEYTON KELLY M.D. (NPI 1295787844) is an individual developmental - behavioral pediatrics provider in Greenville, South Carolina, licensed in South Carolina (17873) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295787844
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameDESMOND PEYTON KELLYCredential: M.D.
Location Address200 PATEWOOD DR, SUITE A200Greenville, SC 29615-3593
Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536 · (864) 797-6303 · Fax (864) 797-6198
Phone(864) 454-5115
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 28, 2018
✔ NPI 1295787844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in SC · 17873
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
200 PATEWOOD DR, Greenville, SC 29615
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Other Identifiers 4

Other1276609SC · Cigna
Other576007863094SC · Bcbs Of Sc
Medicaid178738SC
Other576007863037SC · Blue Choice Of Sc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 (PECOS)

Desmond Peyton Kelly M.d. 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.

CHARLOTTE BOCCHINO PT
Physical Therapist
200 PATEWOOD DR, STE C150
GREENVILLE, SC 29615
Greenville County (864) 454-0904
DOMINIC BRUNO GAULT M.D.
Pediatrics (Sleep Medicine)
200 PATEWOOD DR, STE A330
GREENVILLE, SC 29615
Greenville County (864) 454-5660
SANDRA T CALMES NP
Nurse Practitioner (Acute Care)
200 PATEWOOD DR, STE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Pediatrics (Pediatric Infectious Diseases)
200 PATEWOOD DR, SUITE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5100
GREENVILLE HOSPITAL SYSTEM
Clinic/Center (Radiology)
200 PATEWOOD DR, SUITE A16
GREENVILLE, SC 29615
Greenville County (864) 454-2604
JOHN J KUDLAK JR. D.O.
Internal Medicine (Pulmonary Disease)
200 PATEWOOD DR, SUITE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
BRUCE HARVEY GRAY D.O.
Internal Medicine
200 PATEWOOD DR, SUITE C300
GREENVILLE, SC 29615
Greenville County (864) 454-8272
MENG ZHOU-WANG MD
Psychiatry & Neurology (Clinical Neurophysiology)
200 PATEWOOD DR, SUITE B350
GREENVILLE, SC 29615
Greenville County (864) 454-4500

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 Desmond Kelly's NPI number?

The NPI number for Desmond Kelly is 1295787844. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Desmond Kelly located?

Desmond Kelly practices at 200 Patewood Dr Suite A200, Greenville, SC 29615. The listed phone number is (864) 454-5115.

What is Desmond Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Desmond Kelly enrolled in Medicare?

Yes. Desmond Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Desmond Kelly accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Desmond Kelly 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.

When was this NPI record last updated?

The NPPES record for Desmond Kelly was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.