THOMAS MICHAEL KELLEY JR.
NPI 1154736437
Surgery in Fort Bragg, NC

Q: What is Thomas Kelley's NPI number?

The NPI number for Thomas Kelley is 1154736437. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Q: What is Thomas Kelley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Kelley was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 25, 2014PECOS EnrolledAccepts Medicare Assignment

2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-7624 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2025, Nov 4, 2022, Feb 12, 2021 (3 updates tracked since 2021).

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About Thomas Michael Kelley Jr. NPPES

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

THOMAS MICHAEL KELLEY JR. (NPI 1154736437) is an individual surgery provider in Fort Bragg, North Carolina, licensed in North Carolina (267056) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2014).

NPPES Registry Identity

NPI1154736437

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTHOMAS MICHAEL KELLEY JR.

Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-7324

Mailing Address2817 Rock Merrit AveFort Bragg, NC 28310-7324

Phone(910) 907-7624

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 2014

Enumeration DateJune 25, 2014

Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1154736437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NC · 267056✔ Licensed in GA · 74379

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and more.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

Thomas Michael Kelley Jr. 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 ID8729456249

PECOS Enrollment IDI20221115000162, I20230124000283

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 28310 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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

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.

JOSEPH CLAIR

Nurse Anesthetist, Certified Registered

2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

Cumberland County (910) 907-8922

DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC

Physical Therapist (Sports)

2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Cumberland County (910) 907-8922

ERIN FOLEY PT, DPT

Physical Therapist

2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Cumberland County (910) 907-8709

MICHAEL ANDREW SLACK DPT

Physical Therapist

2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Cumberland County (224) 715-1689

MRS. COLLEEN MARGARET REMINSKY LAT, ATC

Specialist/Technologist (Athletic Trainer)

2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Cumberland County (910) 908-9663

ROBERT AUSTIN JONES PA-C

Physician Assistant

2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310

Cumberland County (910) 907-8922

JUSTINA JEAN AHN DMD

Dentist

2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Cumberland County (910) 907-8922

JOSEPH PAUL BRITVEN

Student in an Organized Health Care Education/Training Program

2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Cumberland County (910) 907-7698

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 Thomas Kelley's NPI number?

The NPI number for Thomas Kelley is 1154736437. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Thomas Kelley located?

Thomas Kelley practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-7624.

What is Thomas Kelley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Kelley enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Kelley accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and InStil Health list Thomas Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Kelley was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.