KELLY F SHEDD MD
NPI 1104836048
Specialist in Gastonia, NC

Q: What is Kelly Shedd's NPI number?

The NPI number for Kelly Shedd is 1104836048. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Kelly Shedd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Shedd was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 09, 2006PECOS Enrolled

2391 COURT DR STE 110, GASTONIA, NC 28054(704) 866-0101(704) 866-0103 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kelly F Shedd Md NPPES

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

KELLY F SHEDD MD (NPI 1104836048) is an individual specialist in Gastonia, North Carolina, licensed in Kentucky (38951) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1997).

NPPES Registry Identity

NPI1104836048

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKELLY F SHEDDCredential: MD

Location Address2391 COURT DR STE 110Gastonia, NC 28054-2197

Mailing Address2391 Court Dr Ste 110Gastonia, NC 28054-2197 · (704) 866-0101 · Fax (704) 866-0103

Phone(704) 866-0101

Fax(704) 866-0103

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1997

Enumeration DateAugust 9, 2006

Last NPPES UpdateJune 19, 2013

✔ NPI 1104836048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KY · 38951

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2391 COURT DR STE 110, Gastonia, NC 28054

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Other Identifiers 2

Medicare ID-Type Unspecified3315606KY

Medicare UPINH51515KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly F Shedd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193768109

PECOS Enrollment IDI20130823000830

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Shedd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine Associates Of Gastonia PA

Same address

Internal Medicine

2391 COURT DR STE 110
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
2 clinicians in this Medicare group

NPI 1528190410 (704) 853-3330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

298 services121 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

81 services81 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340032

Location2525 Court DrGastonia, NC 28052 · Gaston County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

MRS. KRYSTAL MARIE GESSERT-HERRING NP-C

Nurse Practitioner

2391 COURT DR STE 110
GASTONIA, NC 28054

Gaston County (704) 853-3330

INTERNAL MEDICINE ASSOCIATES OF GASTONIA PA

Internal Medicine

2391 COURT DR STE 110
GASTONIA, NC 28054

Gaston County (704) 853-3330

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 Kelly Shedd's NPI number?

The NPI number for Kelly Shedd is 1104836048. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Kelly Shedd located?

Kelly Shedd practices at 2391 Court Dr Ste 110, Gastonia, NC 28054. The listed phone number is (704) 866-0101.

What is Kelly Shedd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kelly Shedd enrolled in Medicare?

Yes. Kelly Shedd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Shedd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shedd reassigns Medicare benefits to Internal Medicine Associates Of Gastonia PA (Gastonia, NC). 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 Kelly Shedd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Shedd affiliated with any hospitals?

According to CMS data, Kelly Shedd is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Shedd was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.