DR. KC KELLEY DO
NPI 1073207064
Clinic/Center - Primary Care in Lynchburg, VA
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, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2023).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kc Kelley Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Kc Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24501
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Centra Medical Group LLC
- 757 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centra Health - Lynchburg Gen Hospital
Acute Care Hospitals · Lynchburg, VAPhysician 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.
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.
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 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.
Where is Kc Kelley located?
Kc Kelley practices at 2323 Memorial Ave Ste 10, Lynchburg, VA 24501. The listed phone number is (143) 420-0615.
What is Kc Kelley's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Kc Kelley enrolled in Medicare?
Yes. Kc Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kc Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kc Kelley reassigns Medicare benefits to Centra Health Professional Services, LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kc Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kc Kelley affiliated with any hospitals?
According to CMS data, Kc Kelley is affiliated with Centra Health - Lynchburg Gen Hospital.
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 5 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.
# Dr. Kc Kelley, DO · NPI 1073207064
Primary Care provider in Lynchburg, Virginia. Individual provider, active in the CMS NPPES registry since June 5, 2023.
## Identity
- **NPI:** 1073207064 (Entity type: Individual)
- **Enumerated:** June 5, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **State license:** 0102210148 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2323 MEMORIAL AVE STE 10, Lynchburg, VA 24501-2652
- **Phone:** (143) 420-0615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centra Health Professional Services, LLC (NPI 1306130083, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Liberty Univ College Of Osteopathic Medicine, class of 2023
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073207064) · Data from the CMS NPPES public registry.