KELLY ANN HALE D.O
NPI 1275874109
Emergency Medicine in Bolivia, NC
About Kelly Ann Hale D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN HALE D.O (NPI 1275874109) is an individual emergency medicine provider in Bolivia, North Carolina, licensed in Ohio (00000000000000000000) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Camp Lejeune.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Ann Hale D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Kelly Hale reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bolivia, NC 28422
- Reassigned Medicare billing, North Carolina enrollment
- 639 clinicians in this Medicare group
Bolivia, NC 28422
- Reassigned Medicare billing, North Carolina enrollment
- 128 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 152 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 158 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 159 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, North Carolina enrollment
- 557 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Millersburg, OH 44654
- Reassigned Medicare billing, Ohio enrollment
- 103 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOLIVIA, NC 28422
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 Hale's NPI number?
The NPI number for Kelly Hale is 1275874109. It was assigned to this individual provider in the NPPES registry on March 1, 2013. The provider is also known as Kelly Ann Miller D.O.
Where is Kelly Hale located?
Kelly Hale practices at 240 Hospital Dr NE, Bolivia, NC 28422. The listed phone number is (910) 721-1700.
What is Kelly Hale's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelly Hale enrolled in Medicare?
Yes. Kelly Hale is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Hale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hale reassigns Medicare benefits to 9 organizations: Brunswick Community Hospital, LLC (Bolivia, NC), Brunswick Physician Partners, PLLC (Bolivia, NC), Forsyth Memorial Hospital, Inc. (Thomasville, NC), Piedmont Triad Physicians, PLLC (Thomasville, NC), Kernersville Emergency Group, PLLC (Kernersville, NC) and 4 more organizations, listed in the Medicare section above. Each 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 Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Hale was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Ann Hale, D.O · NPI 1275874109
Emergency Medicine physician in Bolivia, North Carolina. Individual provider, active in the CMS NPPES registry since March 1, 2013.
## Identity
- **NPI:** 1275874109 (Entity type: Individual)
- **Enumerated:** March 1, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 00000000000000000000 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 240 HOSPITAL DR NE, Bolivia, NC 28422-8346
- **Phone:** (910) 721-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Brunswick Community Hospital, LLC (NPI 1669725198, Bolivia, NC); Brunswick Physician Partners, PLLC (NPI 1457822264, Bolivia, NC); Forsyth Memorial Hospital, Inc. (NPI 1043796998, Thomasville, NC); Piedmont Triad Physicians, PLLC (NPI 1295206464, Thomasville, NC); Kernersville Emergency Group, PLLC (NPI 1750852034, Kernersville, NC); and 4 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1275874109) · Data from the CMS NPPES public registry.