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

Individual provider Surgical Critical Care Physician · NPI 1538515804

Dr. Kellie Anne Amodeo, MD is a General Surgery in Charleston, South Carolina. Qualified in 2016, 10 years ago. Practices with Tri-County Surgical Specialists LLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9291 Medical Plaza Dr
Charleston, SC 29406-9126
Phone: (843) 764-1730
Fax: (843) 764-1731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Maccorkle Ave Se, Charleston, WV 25304 — (304) 388-5590

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 86257 (SC)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 86257 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538515804
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tri-County Surgical Specialists Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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