South Carolina Provider Services, LLC
NPI 1003413469 · Adult Health Nurse Practitioner · Clemson, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Carolina Provider Services, LLC is a Adult Health Nurse Practitioner organization in Clemson, SC (NPI 1003413469).
Provider details
- NPI number
- 1003413469
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gwendell Kelley, Owner(864) 650-7475
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (6)
- 107 Perpetual SqAnderson, SC 29621-1713Phone: (864) 712-4522
- 214 Mcgee RdAnderson, SC 29625-2104Phone: (864) 260-4515
- 701 Simpson RdAnderson, SC 29621-3077Phone: (864) 226-5505
- 123 Couch LnEasley, SC 29642-1916Phone: (864) 859-3303
- 515 Benton StSeneca, SC 29672-6883Phone: (864) 888-4114
- 999 W Union RdWest Union, SC 29696-2642Phone: (864) 638-4370
Registry dates
- Enumerated
- 2020-10-07
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Frequently asked questions
- What is South Carolina Provider Services, LLC's NPI number?
- South Carolina Provider Services, LLC's National Provider Identifier (NPI) is 1003413469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Carolina Provider Services, LLC?
- South Carolina Provider Services, LLC is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is South Carolina Provider Services, LLC located?
- South Carolina Provider Services, LLC's practice location on file with NPPES is 500 Downs Loop, Clemson, SC 29631-2035.
- What is South Carolina Provider Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Carolina Provider Services, LLC is (864) 650-7475.
- Does South Carolina Provider Services, LLC accept Medicare?
- South Carolina Provider Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Carolina Provider Services, LLC?
- The authorized official listed on South Carolina Provider Services, LLC's NPPES record is Gwendell Kelley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Carolina Provider Services, LLC's NPI active?
- Yes — South Carolina Provider Services, LLC's NPI (1003413469) is active in the NPPES registry as of the last update on 2026-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.