JILLIAN KELLY FNP
NPI 1649753898
Nurse Practitioner - Family in Myrtle Beach, SC

Q: What is Jillian Kelly's NPI number?

The NPI number for Jillian Kelly is 1649753898. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Q: What is Jillian Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jillian Kelly was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 13, 2018PECOS EnrolledAccepts Medicare Assignment

95.21/100

CMS Quality Rating

4301 DICK POND RD, MYRTLE BEACH, SC 29588(843) 652-8100(843) 652-8122 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2025, Nov 12, 2025, Sep 14, 2020 and 1 more (4 updates tracked since 2018).

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About Jillian Kelly Fnp NPPES

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

JILLIAN KELLY FNP (NPI 1649753898) is an individual family provider in Myrtle Beach, South Carolina, licensed in South Carolina (29126) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1649753898

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJILLIAN KELLYCredential: FNP

Location Address4301 DICK POND RDMyrtle Beach, SC 29588-6807

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000

Phone(843) 652-8100

Fax(843) 652-8122

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 13, 2018

Last NPPES UpdateNovember 21, 20254 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1649753898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 29126

4301 DICK POND RD, Myrtle Beach, SC 29588

Open in Google Maps ↗

Secondary Practice Locations 10

Location 14301 Dick Pond RdMyrtle Beach, SC 29588-6807 · Phone (843) 652-8100 · Fax (843) 652-8122

Location 2456 N Main StHemingway, SC 29554-9190 · Phone (843) 558-9319 · Fax (843) 558-9818

Location 34320 Holmestown RdMyrtle Beach, SC 29588-7837 · Phone (843) 652-8440 · Fax (843) 652-8441

Location 411916 Highway 707 Ste DMurrells Inlet, SC 29576-9610 · Phone (843) 652-8450 · Fax (843) 652-8451

Location 54367 Riverwood Dr Unit 110Murrells Inlet, SC 29576-4381 · Phone (843) 652-8046 · Fax (843) 357-9771

Location 69699 Ocean HWYPawleys Island, SC 29585-7425 · Phone (843) 237-4296 · Fax (843) 237-0495

Location 7701 S Morgan AveAndrews, SC 29510-2959 · Phone (843) 264-5253 · Fax (843) 264-5970

Location 82347 S Highway 17Murrells Inlet, SC 29576-7611 · Phone (843) 357-2443 · Fax (843) 357-2132

Location 91075 N Fraser StGeorgetown, SC 29440-2848 · Phone (843) 527-4442 · Fax (843) 527-4027

Location 102200 Crow Ln Ste 301Myrtle Beach, SC 29577-1663 · Phone (843) 848-5300 · Fax (843) 848-5305

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jillian Kelly Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274886841

PECOS Enrollment IDI20250423002634

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.

Medicare Billing Reassignments

Medicare enrollment records show Jillian Kelly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgetown Physician Associates, LLC

Same address

Family Medicine

4301 DICK POND RD
Myrtle Beach, SC 29588

Reassigned Medicare billing, South Carolina enrollment
266 clinicians in this Medicare group

NPI 1679987028 (843) 652-8100

Musc Community Physicians

120 mi

Internal Medicine

506 NORTH ST
Bamberg, SC 29003

Reassigned Medicare billing, South Carolina enrollment
2,389 clinicians in this Medicare group

NPI 1841878006 (803) 245-6290

United Health Services Hospitals, Inc.

606 mi

Multi-Specialty

33-57 HARRISON ST.
Johnson City, NY 13790

Reassigned Medicare billing, New York enrollment
854 clinicians in this Medicare group

NPI 1962463851 (607) 762-3027

United Medical Associates PC

608 mi

Clinic/Center

33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905

Reassigned Medicare billing, New York enrollment
528 clinicians in this Medicare group

NPI 1013972801 (607) 770-0025

Cayuga Medical Associates, PC

622 mi

Internal Medicine

101 DATES DR
Ithaca, NY 14850

Reassigned Medicare billing, New York enrollment
328 clinicians in this Medicare group

NPI 1679525455 (607) 274-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

117 services79 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

65 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services38 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.21/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.69

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

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

JACOB HURLAN BRAZEE MD

Internal Medicine