KELL MEDICAL PA
NPI 1508027046
General Practice in Jacksonville, NC

Active since June 18, 2008
200 DOCTORS DR STE F, JACKSONVILLE, NC 28546(910) 353-1499(910) 355-0404 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2022, Aug 3, 2022, May 2, 2022 (3 updates tracked since 2022).

About Kell Medical Pa NPPES

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

KELL MEDICAL PA (NPI 1508027046) is a healthcare organization registered as a general practice in Jacksonville, North Carolina and active in the NPI registry since June 2008. The organization lists Robert E Kell, Primary Doctor, as its authorized official.

NPPES Registry Identity

NPI1508027046
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKELL MEDICAL PA
Location Address200 DOCTORS DR STE FJacksonville, NC 28546-6308
Mailing Address200 Doctors Dr Ste FJacksonville, NC 28546-6308 · (910) 353-1499 · Fax (910) 355-0404
Fax(910) 355-0404
Organization SubpartNo
Authorized OfficialRobert E KellPrimary Doctor · (910) 353-1499
Enumeration DateJune 18, 2008
Last NPPES UpdateNovember 17, 20223 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1508027046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 9600132 (NC)
200 DOCTORS DR STE F, Jacksonville, NC 28546

Other Identifiers 1

Other48308NC · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kell Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kell Medical PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1710086236
200 DOCTORS DR STE F
Jacksonville, NC 28546
(910) 353-1499
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386856649
200 DOCTORS DR STE F
Jacksonville, NC 28546
(910) 353-1499
✔ PECOS✔ Accepts MedicareSame address

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 Kell Medical PA's NPI number?

The NPI number for Kell Medical PA is 1508027046. It was assigned to this organization in the NPPES registry on June 18, 2008.

Where is Kell Medical PA located?

Kell Medical PA is located at 200 Doctors Dr Ste F, Jacksonville, NC 28546. The listed phone number is (910) 353-1499.

What is Kell Medical PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kell Medical PA enrolled in Medicare?

Yes. Kell Medical PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kell Medical PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kell Medical PA, in Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kell Medical PA was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.