KELLY MORRIS HOMESLEY RD
NPI 1053843201
Dietitian, Registered in Charlotte, NC

Q: What is Kelly Homesley's NPI number?

The NPI number for Kelly Homesley is 1053843201. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Kelly Homesley's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Homesley was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2017Accepts Medicare Assignment

325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204(704) 316-7760(704) 316-7761 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2022, Mar 28, 2017 (2 updates tracked since 2017).

On this page

About Kelly Morris Homesley Rd NPPES

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

KELLY MORRIS HOMESLEY RD (NPI 1053843201) is an individual dietitian, registered in Charlotte, North Carolina, licensed in North Carolina (L004895) and active in the NPI registry since March 2017. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1053843201

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY MORRIS HOMESLEYCredential: RD

Location Address325 HAWTHORNE LN STE 100Charlotte, NC 28204-2536

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-7760 · Fax (704) 316-7761

Phone(704) 316-7760

Fax(704) 316-7761

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 28, 2017

Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2024

✔ NPI 1053843201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NC · L004895

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

325 HAWTHORNE LN STE 100, Charlotte, NC 28204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Morris Homesley Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931477353

PECOS Enrollment IDI20170607002663

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

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…

100%48 patients5/55-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 20

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

TAWANA DENISE SANDERS LCSW

Social Worker (Clinical)