Amanda Gayle O'kelly
M.D. | Pediatrics | Female
Amanda Gayle O'kelly, M.D. is a Simpsonville, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Amanda Gayle O'kelly is
727 Se Main St, Suite 320, Simpsonville, South Carolina - 29681-3247. She can be contacted on phone at
864-454-6440 and fax number 864-454-6445.
Amanda Gayle O'kelly is a sole proprietor of her business.
NPI number (Unique professional ID) for Amanda Gayle O'kelly is
1578767323 which was assigned by NPPES on 14 Jun, 2007 and it was last updated on 23 Jun, 2022.
Amanda Gayle O'kelly license number is
29908 for Pediatrics (208000000X) in South Carolina.
Amanda Gayle O'kelly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Amanda Gayle O'kelly basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Amanda Gayle O'kelly |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Amanda Gayle O'kelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 727 Se Main St, Suite 320
Simpsonville, SC, 29681-3247
United States |
|---|
| Phone Number : | 864-454-6440 |
|---|
| Fax Number : | 864-454-6445 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1578767323 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 14 Jun, 2007 |
|---|
| Last Updated On : | 23 Jun, 2022 |
|---|
Medicare Participation:
Amanda Gayle O'kelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5092992958 |
|---|
| Medicare Enrollment ID : | I20110602000498 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | University Of South Carolina School Of Medicine |
|---|
| Graduation Year : | 2007 |
|---|
| Accepts Medicare? | Yes. Amanda Gayle O'kelly accepts medicare insurance. |
|---|
Group Practice Association:
Amanda Gayle O'kelly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Amanda Gayle O'kelly is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Prisma Health University Medical Group | 8325950983 | 2133 | 210 Freeman Farm Rd
Duncan, SC - 293349398
Ph: 8649685123 | Yes |
| Prisma Health University Medical Group | 8325950983 | 2133 | 727 Semain St
Simpsonville, SC - 296813249 | Yes |
| Prisma Health University Medical Group | 8325950983 | 2133 | 727 Se Main St
Suite 300
Simpsonville, SC - 296813249
Ph: 8645221170 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda Gayle O'kelly are as mentioned. Primary taxonomy code for Amanda Gayle O'kelly, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 29908 | SC |
| 207RA0000X | Internal Medicine Adolescent Medicine | No | 29908 | SC |
| 208000000X | Pediatrics | Yes | 29908 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Amanda Gayle O'kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 299082 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
|---|
| Phone Number : | 864-522-2286 |
|---|
Business Location:
Patients can refer following map for directions to
Amanda Gayle O'kelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.