KELLY JORDAN SPENCE MD
NPI 1306421987
Internal Medicine in Fountain Inn, SC

Q: What is Kelly Spence's NPI number?

The NPI number for Kelly Spence is 1306421987. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Q: What is Kelly Spence's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Spence was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 15, 2021PECOS Enrolled

200 N NELSON DR, FOUNTAIN INN, SC 29644(864) 522-6270 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Nov 12, 2025, Jun 18, 2025 and 2 more (5 updates tracked since 2021).

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About Kelly Jordan Spence Md NPPES

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

KELLY JORDAN SPENCE MD (NPI 1306421987) is an individual internal medicine provider in Fountain Inn, South Carolina, licensed in South Carolina (86234) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Hillcrest Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306421987

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKELLY JORDAN SPENCECredential: MD

Location Address200 N NELSON DRFountain Inn, SC 29644-9021

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8603

Phone(864) 522-6270

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 15, 2021

Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1306421987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 86234

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 86234 (SC)

200 N NELSON DR, Fountain Inn, SC 29644

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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)

Kelly Jordan Spence Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840695664

PECOS Enrollment IDI20251015003656

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420037

Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County

Emergency services

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420102

Location175 Patewood DriveGreenville, SC 29615 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29644 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

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 8

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

PRISMA HEALTH-UPSTATE

Clinic/Center (Multi-Specialty)