KELLY ANNE TAYLOR HEADLEY PA-C
NPI 1609062108
Physician Assistant - Medical in Daniel Island, SC

Q: What is Kelly Taylor Headley's NPI number?

The NPI number for Kelly Taylor Headley is 1609062108. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Q: What is Kelly Taylor Headley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 18, 2007

225 SEVEN FARMS DR STE 108B, DANIEL ISLAND, SC 29492(854) 500-2326 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly Anne Taylor Headley Pa-c NPPES

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

KELLY ANNE TAYLOR HEADLEY PA-C (NPI 1609062108) is an individual medical provider in Daniel Island, South Carolina, licensed in South Carolina (PA1544) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1609062108

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKELLY ANNE TAYLOR HEADLEYCredential: PA-C

Location Address225 SEVEN FARMS DR STE 108BDaniel Island, SC 29492-8932

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(854) 500-2326

Sole ProprietorNo

Enumeration DateSeptember 18, 2007

Last NPPES UpdateAugust 20, 2024

NPPES CertifiedAugust 20, 2024

✔ NPI 1609062108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in SC · PA1544

225 SEVEN FARMS DR STE 108B, Daniel Island, SC 29492

Open in Google Maps ↗

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 Kelly Taylor Headley's NPI number?

The NPI number for Kelly Taylor Headley is 1609062108. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Kelly Taylor Headley located?

Kelly Taylor Headley practices at 225 Seven Farms Dr Ste 108B, Daniel Island, SC 29492. The listed phone number is (854) 500-2326.

What is Kelly Taylor Headley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kelly Taylor Headley was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.