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

Kelli Gregg Maddox

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013584341

Kelli Gregg Maddox is a Student in an Organized Health Care Education/Training Program in Columbia, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1601 Greene St
Columbia, SC 29208-4001
Phone: (803) 777-7412
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 25503 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013584341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

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