Individual provider · Type 1 NPI

Kelli Gregg Maddox

Nurse Practitioner · Columbia, SC

NPI number 1013584341 Active

Practice location

1601 Greene St
Columbia, SC 29208-4001

Call (803) 777-7412 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Other practice locations

171 Ashley Ave, Charleston, SC 29425-4001 · (843) 792-1414

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Nurse Practitioner Primary	363L00000X	25503 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013584341

Kelli Gregg Maddox's National Provider Identifier is 1013584341, issued on Jun 7, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, SC. The record was last updated on Jan 13, 2022.