KELLEY ROWAN MARK
NPI 1073202719
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since May 08, 2023PECOS Enrolled
590 MANNING DRIVE, CHAPEL HILL, NC 27599(984) 974-0210 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Rowan Mark NPPES

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

KELLEY ROWAN MARK (NPI 1073202719) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073202719
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLEY ROWAN MARK
Location Address590 MANNING DRIVEChapel Hill, NC 27599
Mailing Address590 Manning DriveChapel Hill, NC 27599
Sole ProprietorNo
Enumeration DateMay 8, 2023
NPPES CertifiedMay 7, 2023
NPI 1073202719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
590 MANNING DRIVE, Chapel Hill, NC 27599

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelley Rowan Mark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Primary Care)
590 MANNING DRIVE
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DRIVE, CB 7595
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DRIVE
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DRIVE
CHAPELL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DRIVE, CB 7595
CHAPEL HILL, NC 27599

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 Kelley Mark's NPI number?

The NPI number for Kelley Mark is 1073202719. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Kelley Mark located?

Kelley Mark practices at 590 Manning Drive, Chapel Hill, NC 27599. The listed phone number is (984) 974-0210.

What is Kelley Mark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelley Mark enrolled in Medicare?

Yes. Kelley Mark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Mark was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.