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

Mrs. Brandy Kay Kennedy, ND

Individual provider Family Nurse Practitioner · NPI 1578532040

Mrs. Brandy Kay Kennedy, ND is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2003, 23 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
23
Licensed in
SC
In the registry since
2006
Specialties on file
3

Practice location Address checks out

302 W Faris Rd
Greenville, SC 29605-3005
Phone: (864) 473-9406
Show map & directions

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

Additional practice locations (1)

  • 939 Springdale Dr, Clinton, SC 29325-7266 — (910) 742-9243

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN2163 (SC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APN2163 (SC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APN2163 (SC)

Record details

NPI number1578532040
Entity typeIndividual (Type 1)
GenderFemale
Credentials ND
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Greenville