Shannon Marie Kelly, DMD
NPI 1699268821ActiveIndividual· Dentist, General Practice· Irmo, SC
Dentist, General Practice (DMD) in Irmo, South Carolina, licensed in SC and FL, with an NPI issued in June 2018. Part D covered 42 prescriptions written in 2024, 40% of them generic.
Overview
| NPI | 1699268821 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jun 12, 2018 |
| Last updated in NPPES | Jul 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9158 | SC |
| Dentist, General Practice | 1223G0001X | DN23453 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 42 · 48 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $386.91 |
| Generic share | 40% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 29 general dentists in Irmo · All general dentists in South Carolina