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

Kelly Berry, FNP-C

Individual provider Family Nurse Practitioner · NPI 1790148153

Kelly Berry, FNP-C is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2015, 11 years ago. Practices with Community Primary Care of Georgia LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Arizona, Georgia and South Carolina.

Years since qualifying
11
Licensed in
AZ, GA, SC
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

111 Doctor Cir
Columbia, SC 29203-6502
Phone: (800) 491-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25535 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN184770 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN174881 (GA)

Record details

NPI number1790148153
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedApril 3, 2016
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Community Primary Care Of Georgia Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia