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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Community Primary Care of Georgia LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.

Other providers in Columbia