KELLY BRIANA LEVITAS PA-C
NPI 1609853159
Physician Assistant - Medical in Charlotte, NC

Active since December 27, 2005
8821 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277(704) 887-1101(704) 887-1102 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Briana Levitas Pa-c NPPES

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

KELLY BRIANA LEVITAS PA-C (NPI 1609853159) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (102908) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1609853159
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY BRIANA LEVITASCredential: PA-C
Location Address8821 BLAKENEY PROFESSIONAL DRCharlotte, NC 28277-6594
Mailing Address8821 Blakeney Professional DrCharlotte, NC 28277-6594 · (704) 887-1101 · Fax (704) 887-1102
Fax(704) 887-1102
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateOctober 25, 2007
NPI 1609853159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 102908
8821 BLAKENEY PROFESSIONAL DR, Charlotte, NC 28277

Other Names 1

Former Name (1)Kelly Briana Diven Pa-c

Other Identifiers 2

Medicare UPINP41815NC
Medicare PIN2751229BNC

Other Providers at the Same Location NPPES 4

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

Internal Medicine
8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Family Medicine
8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Physician Assistant (Medical)
8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Family Medicine
8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277

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 Levitas's NPI number?

The NPI number for Kelly Levitas is 1609853159. It was assigned to this individual provider in the NPPES registry on December 27, 2005. The provider is also known as Kelly Briana Diven Pa-C.

Where is Kelly Levitas located?

Kelly Levitas practices at 8821 Blakeney Professional Dr, Charlotte, NC 28277. The listed phone number is (704) 887-1101.

What is Kelly Levitas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kelly Levitas was last updated on October 25, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.