Kelly Clark
Nurse Practitioner · Irmo, SC
Kelly Clark is a nurse practitioner with a practice address in Irmo, South Carolina, and NPI 1639840580, issued on Sep 21, 2021. Check the license (South Carolina 25865, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Clark
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- 25865 SC
Self-reported in NPPES; status is on the state search - Practice location
- 11134 Broad River RD Ste D, Irmo, SC 29063
- Phone
- (803) 732-0920
- Enumerated
- Sep 21, 2021
- Record last updated
- Mar 7, 2022
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 1,263 in South Carolina → Look up another NPI →
Verify Kelly Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 25865Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $51.32
3 payments; by number, the most common kind was food and beverage; the largest payer was Cranial Technologies, Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kelly Clark among 1,263 nurse practitioner records in South Carolina
Kelly Clark is one of 1,263 nurse practitioner records with a practice address in South Carolina. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 67% of them.
- NPI issued2021 · 67% of these records are older, 27% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileNo · 63% of these records are
- Record last updated2022 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nurse Practitioner providers in South Carolina
There are 1,263 nurse practitioner records in South Carolina.
All 1,263 in South Carolina → Every provider in Irmo → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Leslie Kline, FNPIrmo, SC 290631447128277
- Rachel Strange, APRNIrmo, SC 290631114321718
- Jessica Brubeck, NPKershaw, SC 290671467904912
- Debra Cain, APRNHolly Hill, SC 290591811932098
- Ann Alexander, RN MN CFNPLexington, SC 290721205829348
- Janice Black, NPLexington, SC 290721740495688
- Colby Grande, APRN-CLexington, SC 290721578821849
- Karina Hurley, ARNPLexington, SC 290721487205183
Common questions
What is Kelly Clark's NPI number?
Kelly Clark's National Provider Identifier (NPI) is 1639840580, issued on Sep 21, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Clark located?
The NPPES record lists a practice address at 11134 Broad River RD Ste D, Irmo, SC, 29063. Phone: (803) 732-0920. Providers update this record themselves, so call before visiting.
How can I verify Kelly Clark's license?
NPPES lists South Carolina license number 25865, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.