Kennedy Goode Holcombe
APRN | Nurse Practitioner | 4+ years Exp
171 Ashley Ave, Charleston
South Carolina, 29425-8908
843-792-1414
Kennedy Goode Holcombe is a Charleston, South Carolina based nurse practitioner with 4 years of experience in . She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kennedy Goode Holcombe is 24894 for Family in South Carolina. Her current practice location is 171 Ashley Ave, Charleston. Patients can reach her at 843-792-1414. Kennedy Goode Holcombe is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1477134880.
Kennedy Goode Holcombe has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kennedy Goode Holcombe speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kennedy Goode Holcombe |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | APRN |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 171 Ashley Ave, Charleston,
South Carolina, 29425-8908 |
| Phone: | 843-792-1414 |
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.
| PAC ID: | 3971980525 |
| Enrollment ID: | I20220519002208 |
| NPI Number: | 1477134880 |
| NPI Enumeration Date: | 16 Apr, 2021 |
| NPI Last Update On: | 14 Jan, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kennedy Goode Holcombe are as mentioned below.
| License Number | Specialization | State | Status | |
| 24894 | Family | South Carolina | Primary | |
| 24894 | Nurse Practitioner | South Carolina | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kennedy Goode Holcombe is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Ppcp Specialty Physicians , Llc (2466723028) | 14 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kennedy Goode Holcombe such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NP8512 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kennedy Goode Holcombe
Po Box 751461,
Charlotte, North Carolina |
| Zip: | 28275-1461 |
| Phone Number: | 843-792-6200 |
Patients can reach Kennedy Goode Holcombe at
171 Ashley Ave, Charleston, South Carolina or can
call to book an appointment on 843-792-1414.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.