NATHANIEL SHERWOOD KELLY R.D.
NPI 1649546516
Dietitian, Registered in Kernersville, NC

Q: What is Nathaniel Kelly's NPI number?

The NPI number for Nathaniel Kelly is 1649546516. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Q: What is Nathaniel Kelly's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: Is Nathaniel Kelly enrolled in Medicare?

No. Nathaniel Kelly has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Kelly was last updated on March 26, 2012. 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.

Active since March 26, 2012Opted out of Medicare · through Sep 1, 2026

420 W MOUNTAIN ST, KERNERSVILLE, NC 27284(338) 993-1618 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nathaniel Sherwood Kelly R.d. NPPES

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

NATHANIEL SHERWOOD KELLY R.D. (NPI 1649546516) is an individual dietitian, registered in Kernersville, North Carolina, licensed in North Carolina (L003950) and active in the NPI registry since March 2012. He has opted out of Medicare through September 1, 2026.

NPPES Registry Identity

NPI1649546516

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameNATHANIEL SHERWOOD KELLYCredential: R.D.

Location Address420 W MOUNTAIN STKernersville, NC 27284-2534

Mailing Address1114 Valley Park DrChapel Hill, NC 27514-3325 · (919) 636-2793

Phone(338) 993-1618

Sole ProprietorYes

Enumeration DateMarch 26, 2012

✔ NPI 1649546516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NC · L003950

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

420 W MOUNTAIN ST, Kernersville, NC 27284

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Nathaniel Sherwood Kelly R.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2016 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2016

Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

GENERATIONS FAMILY PRACTICE, PA

Family Medicine