1. Home
  2. Directory
  3. South Carolina
  4. Summerville
  5. Dentist
  6. NPI Profile

DR. KELLY WILKES FORD DMD
NPI 1760534283
Dentist - Periodontics in Summerville, SC

Active since January 17, 2007Opted out of Medicare · through May 3, 2027
321 N LAUREL ST, SUMMERVILLE, SC 29483(843) 871-6636(843) 747-9021 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Wilkes Ford Dmd NPPES

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

DR. KELLY WILKES FORD DMD (NPI 1760534283) is an individual periodontics provider in Summerville, South Carolina, licensed in South Carolina (3045) and active in the NPI registry since January 2007. She has opted out of Medicare through May 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760534283
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KELLY WILKES FORDCredential: DMD
Location Address321 N LAUREL STSummerville, SC 29483
Mailing Address321 N Laurel StSummerville, SC 29483 · (843) 871-6636 · Fax (843) 747-9021
Phone(843) 871-6636
Fax(843) 747-9021
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760534283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 3045
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
321 N LAUREL ST, Summerville, SC 29483
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly Wilkes Ford Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 3, 2017 through May 3, 2027.

Opt-Out Effective DateMay 3, 2017
Opt-Out In Effect ThroughMay 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29483 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 4

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

DR. VERONICA GUY DMD
Dentist
321 N LAUREL ST
SUMMERVILLE, SC 29483
Berkeley County (843) 871-6636
JOHN COMMON DMD
Dentist
321 N LAUREL ST
SUMMERVILLE, SC 29483
Berkeley County (843) 871-6636
KELLY W. FORD, D.M.D, MH. SPA
Dentist (Periodontics)
321 N LAUREL ST
SUMMERVILLE, SC 29483
Berkeley County (843) 871-6636
FLOWERTOWN PERIODONTICS AND IMPLANT DENTISTRY
Dentist (Periodontics)
321 N LAUREL ST
SUMMERVILLE, SC 29483
Berkeley County (843) 871-6636

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 Ford's NPI number?

The NPI number for Kelly Ford is 1760534283. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Kelly Ford located?

Kelly Ford practices at 321 N Laurel St, Summerville, SC 29483. The listed phone number is (843) 871-6636.

What is Kelly Ford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kelly Ford enrolled in Medicare?

No. Kelly Ford has opted out of Medicare through May 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Ford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.