BRIAN KELLEY
NPI 1194213785
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since April 29, 2018PECOS EnrolledAccepts Medicare Assignment
102 MASON FARM RD, CHAPEL HILL, NC 27599(919) 966-1459(919) 843-2356 Get Directions Write a Review

NPPES record last updated: April 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Kelley NPPES

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

BRIAN KELLEY (NPI 1194213785) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (50147606) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194213785
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN KELLEY
Location Address102 MASON FARM RDChapel Hill, NC 27599-6134
Mailing Address3133 Napoleon AveNew Orleans, LA 70125-5119 · (318) 572-2829
Fax(919) 843-2356
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 29, 2018
NPI 1194213785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NC · 50147606
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.

102 MASON FARM RD, Chapel Hill, NC 27599

Accepted 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

Brian Kelley 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 ID6901153048
PECOS Enrollment IDI20250908002678
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.

Hospital Affiliations CMS Care Compare 4

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

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

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.

Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599
Pharmacy
102 MASON FARM RD, 3RD FLOOR, ROOM 3301
CHAPEL HILL, NC 27599
Nurse Practitioner
102 MASON FARM RD
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD, AMBULATORY CARE CENTER
CHAPEL HILL, NC 27599
Internal Medicine
102 MASON FARM RD
CHAPEL HILL, NC 27599
Internal Medicine (Nephrology)
102 MASON FARM RD
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599
Physical Therapist
102 MASON FARM RD
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 Brian Kelley's NPI number?

The NPI number for Brian Kelley is 1194213785. It was assigned to this individual provider in the NPPES registry on April 29, 2018.

Where is Brian Kelley located?

Brian Kelley practices at 102 Mason Farm Rd, Chapel Hill, NC 27599. The listed phone number is (919) 966-1459.

What is Brian Kelley's specialty?

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

Is Brian Kelley enrolled in Medicare?

Yes. Brian 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 Brian Kelley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Brian 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.

Is Brian Kelley affiliated with any hospitals?

According to CMS data, Brian Kelley is affiliated with Columbus Regional Healthcare System, Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brian Kelley was last updated on April 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.