1. Home
  2. Directory
  3. North Carolina
  4. Supply
  5. Physician Assistant
  6. NPI Profile

MRS. AMY SUE KELLY PA-C
NPI 1467486092
Physician Assistant in Supply, NC

Active since July 10, 2006
2930 HOLDEN BEACH RD SW, SUPPLY, NC 28462(910) 842-5991(910) 842-5994 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Amy Sue Kelly Pa-c NPPES

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

MRS. AMY SUE KELLY PA-C (NPI 1467486092) is an individual physician assistant in Supply, North Carolina, licensed in North Carolina (102882) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1467486092
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AMY SUE KELLYCredential: PA-C
Location Address2930 HOLDEN BEACH RD SWSupply, NC 28462-5702
Mailing Address2930 Holden Beach RoadSupply, NC 28462-4096 · (910) 842-5991
Phone(910) 842-5991
Fax(910) 842-5994
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 22, 2011
✔ NPI 1467486092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 102882
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2930 HOLDEN BEACH RD SW, Supply, NC 28462
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS93044NC

Other Providers at the Same Location NPPES 3

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

HOLDEN BEACH MEDICAL CENTER, PA
Clinic/Center (Primary Care)
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991
HOLDEN BEACH MEDICAL CENTER PA
Physician Assistant (Medical)
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991
BERNARD LEROY LANGSTON III MD
Family Medicine
2930 HOLDEN BEACH RD SW
SUPPLY, NC 28462
Brunswick County (910) 842-5991

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 Amy Kelly's NPI number?

The NPI number for Amy Kelly is 1467486092. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Amy Kelly located?

Amy Kelly practices at 2930 Holden Beach Rd SW, Supply, NC 28462. The listed phone number is (910) 842-5991.

What is Amy Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Amy Kelly was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.