KENDALL PHELPS-POLIRER
NPI 1780268037
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since May 11, 2021PECOS Enrolled
6311 GARNERS FERRY RD, COLUMBIA, SC 29209(803) 216-3300 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kendall Phelps-polirer NPPES

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

KENDALL PHELPS-POLIRER (NPI 1780268037) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780268037
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDALL PHELPS-POLIRER
Location Address6311 GARNERS FERRY RDColumbia, SC 29209-1445
Mailing Address6311 Garners Ferry RdCharleston, SC 29492
Sole ProprietorNo
Enumeration DateMay 11, 2021
NPPES CertifiedApril 15, 2021
NPI 1780268037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6311 GARNERS FERRY RD, Columbia, SC 29209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kendall Phelps-polirer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
6311 GARNERS FERRY RD
COLUMBIA, SC 29209
Student in an Organized Health Care Education/Training Program
6311 GARNERS FERRY RD
COLUMBIA, SC 29209
Student in an Organized Health Care Education/Training Program
6311 GARNERS FERRY RD
COLUMBIA, SC 29209
Physician Assistant
6311 GARNERS FERRY RD
COLUMBIA, SC 29209
Physician Assistant (Medical)
6311 GARNERS FERRY RD
COLUMBIA, SC 29209
Student in an Organized Health Care Education/Training Program
6311 GARNERS FERRY RD
COLUMBIA, SC 29209
Student in an Organized Health Care Education/Training Program
6311 GARNERS FERRY RD
COLUMBIA, SC 29209
Student in an Organized Health Care Education/Training Program
6311 GARNERS FERRY RD
COLUMBIA, SC 29209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780268037, enumerated as an "individual" on May 11, 2021.

The provider is located at 6311 GARNERS FERRY RD COLUMBIA, SC 29209 and the phone number is (803) 216-3300.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.