WILLIAM KELLY MD
NPI 1760223655
Family Medicine in Greenwood, SC
About William Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM KELLY MD (NPI 1760223655) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (92366) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains a secondary practice location in Greenwood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
William Kelly Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show William Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 231 clinicians in this Medicare group
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 560 clinicians in this Medicare group
Edgefield, SC 29824
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1922582105 (South Carolina)
- 126 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Self Regional Healthcare
Acute Care Hospitals · Greenwood, SCPhysician 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.
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.
GREENWOOD, SC 29646
GREENWOOD, SC 29646
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 William Kelly's NPI number?
The NPI number for William Kelly is 1760223655. It was assigned to this individual provider in the NPPES registry on June 4, 2024.
Where is William Kelly located?
William Kelly practices at 155 Academy Ave, Greenwood, SC 29646. The listed phone number is (864) 725-4865.
What is William Kelly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is William Kelly enrolled in Medicare?
Yes. William Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for William Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Kelly reassigns Medicare benefits to 3 organizations: Self Regional Healthcare (Greenwood, SC), Self Medical Group (Greenwood, SC) and Self Regional Healthcare Partners (Edgefield, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is William Kelly affiliated with any hospitals?
According to CMS data, William Kelly is affiliated with Self Regional Healthcare.
When was this NPI record last updated?
The NPPES record for William Kelly was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# William Kelly, MD · NPI 1760223655
Family Medicine physician in Greenwood, South Carolina. Individual provider, active in the CMS NPPES registry since June 4, 2024.
## Identity
- **NPI:** 1760223655 (Entity type: Individual)
- **Enumerated:** June 4, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 92366 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 ACADEMY AVE, Greenwood, SC 29646-3869
- **Phone:** (864) 725-4865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Self Regional Healthcare (NPI 1326067703, Greenwood, SC); Self Medical Group (NPI 1134442890, Greenwood, SC); Self Regional Healthcare Partners (NPI 1053929208, Edgefield, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760223655) · Data from the CMS NPPES public registry.