DR. KELLY MOLLIE DEMICHAEL-DOBIAS MD
NPI 1205642907
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since December 06, 2024PECOS Enrolled
1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 716-6410 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2026, Mar 5, 2026, Dec 6, 2024 (3 updates tracked since 2024).

About Dr. Kelly Mollie Demichael-dobias Md NPPES

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

DR. KELLY MOLLIE DEMICHAEL-DOBIAS MD (NPI 1205642907) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205642907
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELLY MOLLIE DEMICHAEL-DOBIASCredential: MD
Location Address1 MEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing Address1 Medical Center BoulevardWinston Salem, NC 27157-0001
Sole ProprietorNo
Enumeration DateDecember 6, 2024
Last NPPES UpdateMarch 28, 20263 updates tracked since enumeration
NPPES CertifiedMarch 28, 2026
NPI 1205642907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

1 MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157

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. Kelly Mollie Demichael-dobias Md 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.

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
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD, 5TH FLOOR WATTLINGTON HALL
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Emergency Medicine
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Hospitalist
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157

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 Demichael-dobias's NPI number?

The NPI number for Kelly Demichael-dobias is 1205642907. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Kelly Demichael-dobias located?

Kelly Demichael-dobias practices at 1 Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 716-6410.

What is Kelly Demichael-dobias's specialty?

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

Is Kelly Demichael-dobias enrolled in Medicare?

Yes. Kelly Demichael-dobias is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Demichael-dobias was last updated on March 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.