Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Grace Kelly Vallejo, MD

Individual provider Psychiatry Physician · NPI 1215564349

Dr. Grace Kelly Vallejo, MD is a Psychiatry in West Columbia, South Carolina. Qualified in 2020, 6 years ago. Practices with Cookeville Regional Medical Center, a 52-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan, South Carolina and Tennessee.

Years since qualifying
6
Licensed in
MI, SC, TN
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

146 E Hospital Dr Ste 120A
West Columbia, SC 29169-4800
Phone: (803) 936-7460
Fax: (803) 936-7462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1 Ford Pl Ste 1c, Detroit, MI 48202-3450 — (313) 874-6677
  • 4000 Wellness Dr, Midland, MI 48670-2113 — (989) 839-3538
  • 8900 Van Wyck Expy, Jamaica, NY 11418-2832 — (718) 206-7708
  • 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 — (615) 396-4100

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301512093 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 93769 (SC)
Neurology Physician Taxonomy 2084N0400X · Licence 71490 (TN)

Record details

NPI number1215564349
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cookeville Regional Medical Center — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in West Columbia