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

Kelly Ardis, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1417304734

Kelly Ardis, AGPCNP-BC is a Nurse Practitioner in Greenwood, South Carolina. Qualified in 2016, 10 years ago. Practices with Self Regional Healthcare, a 156-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016

Practice location Address checks out

1325 Spring St
Greenwood, SC 29646-3860
Phone: (864) 725-4095
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 20183 (SC)

Record details

NPI number1417304734
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMay 17, 2016
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Self Regional Healthcare — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenwood