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LAWRENCE BENNETT KELLY M.D.
NPI 1629031901
Specialist in South Charleston, WV

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
4825 MACCORKLE AVE SW STE C, SOUTH CHARLESTON, WV 25309(304) 343-1022(304) 343-1025 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lawrence Bennett Kelly M.d. NPPES

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

LAWRENCE BENNETT KELLY M.D. (NPI 1629031901) is an individual specialist in South Charleston, West Virginia, licensed in West Virginia (12306) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1979).

NPPES Registry Identity

NPI1629031901
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLAWRENCE BENNETT KELLYCredential: M.D.
Location Address4825 MACCORKLE AVE SW STE CSouth Charleston, WV 25309-1365
Mailing AddressPo Box 11850Charleston, WV 25339-1850 · (304) 343-1022 · Fax (304) 343-1025
Phone(304) 343-1022
Fax(304) 343-1025
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1979
Enumeration DateApril 8, 2006
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1629031901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WV · 12306
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4825 MACCORKLE AVE SW STE C, South Charleston, WV 25309
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Other Identifiers 3

Other001720795WV · Blue Cross Blue Shield
Medicaid0114543001WV
Other260047649WV · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lawrence Bennett Kelly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476525213
PECOS Enrollment IDI20040811000803
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
289 services70 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
162 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services16 patients

Other Providers at the Same Location NPPES

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

LAWRENCE B. KELLY, MD PLLC
Specialist
4825 MACCORKLE AVE SW STE C
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 343-1022

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 Kelly's NPI number?

The NPI number for Lawrence Kelly is 1629031901. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Lawrence Kelly located?

Lawrence Kelly practices at 4825 Maccorkle Ave SW Ste C, South Charleston, WV 25309. The listed phone number is (304) 343-1022.

What is Lawrence Kelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lawrence Kelly enrolled in Medicare?

Yes. Lawrence Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lawrence Kelly accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Lawrence Kelly 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 Kelly was last updated on February 2, 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.