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CRYSTAL DIANNE KELLAM MSW
NPI 1265084800
Social Worker - Clinical in Greenville, NC

Active since July 14, 2019PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
525 MOYE BLVD, GREENVILLE, NC 27834(252) 744-1406(252) 744-4270 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, May 19, 2022, Apr 11, 2022 and 1 more (4 updates tracked since 2019).

About Crystal Dianne Kellam Msw NPPES

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

CRYSTAL DIANNE KELLAM MSW (NPI 1265084800) is an individual clinical provider in Greenville, North Carolina, licensed in North Carolina (C013218) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265084800
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL DIANNE KELLAMCredential: MSW
Location Address525 MOYE BLVDGreenville, NC 27834-2849
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 744-1406
Fax(252) 744-4270
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 14, 2019
Last NPPES UpdateJune 18, 20254 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1265084800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C013218
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 24703 (NC)
525 MOYE BLVD, Greenville, NC 27834
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Crystal Dianne Kellam Msw 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 ID2860810777
PECOS Enrollment IDI20200909001927
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 27834 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

PAULA PRUDEN BOWEN LCSW
Social Worker (Clinical)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1406
DR. JOHN M DIAMOND MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1406
CHERYL ANNE FEHR-BANKS LCSW
Social Worker (Clinical)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1406
DR. LUCIA ANGELA SMITH-MARTINEZ M.D.
Psychiatry & Neurology (Psychiatry)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1406
DR. CANDICE NICOLE GAUL WOLF MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-0454
ELEANOR T KIPP PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1406
WILLIAM HAROLD SMITH
Nurse Practitioner (Psychiatric/Mental Health)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-0454
CHLOE FEDOR-LOCKLEAR LCSW
Social Worker (Clinical)
525 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1406

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 Crystal Kellam's NPI number?

The NPI number for Crystal Kellam is 1265084800. It was assigned to this individual provider in the NPPES registry on July 14, 2019.

Where is Crystal Kellam located?

Crystal Kellam practices at 525 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-1406.

What is Crystal Kellam's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Crystal Kellam enrolled in Medicare?

Yes. Crystal Kellam 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 Crystal Kellam accept?

Health plans from Blue Cross and Blue Shield of NC list Crystal Kellam 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 Crystal Kellam was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.