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DR. KELLIE A FAULK M.D.
NPI 1023000676
Internal Medicine - Endocrinology, Diabetes & Metabolism in Winston Salem, NC

Active since August 19, 2005
1400 WESTGATE CENTER DRIVE, SUITE 130, WINSTON SALEM, NC 27103(336) 659-8703(336) 659-8704 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kellie A Faulk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLIE A FAULK M.D. (NPI 1023000676) is an individual endocrinology, diabetes & metabolism provider in Winston Salem, North Carolina, licensed in North Carolina (9601607) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1023000676
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KELLIE A FAULKCredential: M.D.
Location Address1400 WESTGATE CENTER DRIVE, SUITE 130Winston Salem, NC 27103-3104
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 659-8703 · Fax (336) 659-8704
Phone(336) 659-8703
Fax(336) 659-8704
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateDecember 8, 2016
✔ NPI 1023000676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 9601607
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1400 WESTGATE CENTER DRIVE, Winston Salem, NC 27103
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Other Names 1

Former Name (1)Dr. Kellie L Or Leleux Faulk Md

Other Identifiers 4

Medicare UPING38519NC
Medicare PIN460001353
Medicare ID-Type Unspecified2232551NC
Medicaid891003PNC

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%30 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%35 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
83%24 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
47%36 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WANDA ELLIOTT RUSHTON FNP-C
Nurse Practitioner
1400 WESTGATE CENTER DRIVE, SUITE 130
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7500
NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine
1400 WESTGATE CENTER DRIVE, SUITE 130
WINSTON SALEM, NC 27103
Forsyth County (336) 659-8703
BARIUM SPRINGS HOME FOR CHILDREN
Community/Behavioral Health
1400 WESTGATE CENTER DRIVE, SUITE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 837-6171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Faulk's NPI number?

The NPI number for Kellie Faulk is 1023000676. It was assigned to this individual provider in the NPPES registry on August 19, 2005. The provider is also known as Dr. Kellie L Or Leleux Faulk MD.

Where is Kellie Faulk located?

Kellie Faulk practices at 1400 Westgate Center Drive Suite 130, Winston Salem, NC 27103. The listed phone number is (336) 659-8703.

What is Kellie Faulk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Kellie Faulk was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.