LAWRENCE B. KELLY, MD PLLC
NPI 1295947844
Specialist in South Charleston, WV
About Lawrence B. Kelly, Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE B. KELLY, MD PLLC (NPI 1295947844) is a healthcare organization registered as a specialist in South Charleston, West Virginia and active in the NPI registry since May 2007. The organization lists Lawrence Bennett Kelly, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lawrence B. Kelly, Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lawrence B. Kelly, MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
South Charleston, WV 25309
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lawrence B. Kelly, MD PLLC's NPI number?
The NPI number for Lawrence B. Kelly, MD PLLC is 1295947844. It was assigned to this organization in the NPPES registry on May 4, 2007.
Where is Lawrence B. Kelly, MD PLLC located?
Lawrence B. Kelly, MD PLLC is located at 4825 Maccorkle Ave SW Ste C, South Charleston, WV 25309. The listed phone number is (304) 343-1022.
What is Lawrence B. Kelly, MD PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Lawrence B. Kelly, MD PLLC enrolled in Medicare?
Yes. Lawrence B. Kelly, MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lawrence B. Kelly, MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Lawrence B. Kelly, MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lawrence B. Kelly, MD PLLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Lawrence B. Kelly, MD PLLC 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 Lawrence B. Kelly, MD PLLC was last updated on February 9, 2024. 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.
# Lawrence B. Kelly, Md Pllc · NPI 1295947844
Specialist organization in South Charleston, West Virginia. Organization record, active in the CMS NPPES registry since May 4, 2007.
## Identity
- **NPI:** 1295947844 (Entity type: Organization)
- **Enumerated:** May 4, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Lawrence Kelly, OWNER
## Practice location
- **Address:** 4825 MACCORKLE AVE SW STE C, South Charleston, WV 25309-1365
- **Phone:** (304) 343-1022 · **Fax:** (304) 343-1025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2024
- **Other identifiers:** Medicaid 3810011496 (WV); Other 001720795 (WV); Other DN1230 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1295947844) · Data from the CMS NPPES public registry.