DR. KC KELLEY DO
NPI 1073207064
Clinic/Center - Primary Care in Lynchburg, VA

Q: What is Kc Kelley's NPI number?

The NPI number for Kc Kelley is 1073207064. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Q: What is Kc Kelley's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Kc Kelley was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 June 05, 2023PECOS Enrolled

2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501(143) 420-0615 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Jun 5, 2023 (2 updates tracked since 2023).

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About Dr. Kc Kelley Do NPPES

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

DR. KC KELLEY DO (NPI 1073207064) is an individual primary care provider in Lynchburg, Virginia, licensed in Virginia (0102210148) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073207064

Entity TypeIndividualMale

Primary Taxonomy261QP2300X

Provider Legal NameDR. KC KELLEYCredential: DO

Location Address2323 MEMORIAL AVE STE 10Lynchburg, VA 24501-2652

Mailing Address16890 Forest RdForest, VA 24551-4059 · (434) 200-7210

Phone(143) 420-0615

Sole ProprietorYes

Enumeration DateJune 5, 2023

Last NPPES UpdateMay 18, 20262 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1073207064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in VA · 0102210148

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0116037899 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116037899 (VA)

2323 MEMORIAL AVE STE 10, Lynchburg, VA 24501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kc Kelley Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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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.

CHUN R BERGLUND

General Practice