Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY MARIE WAICUS MD
NPI 1710911375
Pediatrics - Sports Medicine in Chapel Hill, NC

Q: What is Kelly Waicus's NPI number?

The NPI number for Kelly Waicus is 1710911375. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Kelly Waicus's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Waicus was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 July 10, 2006

6118 FARRINGTON RD STE A, CHAPEL HILL, NC 27517(984) 974-9977 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Marie Waicus Md NPPES

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

KELLY MARIE WAICUS MD (NPI 1710911375) is an individual sports medicine provider in Chapel Hill, North Carolina, licensed in North Carolina (9801106) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710911375

Entity TypeIndividualFemale

Primary Taxonomy2080S0010X

Provider Legal NameKELLY MARIE WAICUSCredential: MD

Location Address6118 FARRINGTON RD STE AChapel Hill, NC 27517-8108

Mailing Address5221 Paramount Pkwy Ste 420Morrisville, NC 27560-5491

Phone(984) 974-9977

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateAugust 14, 2026

NPPES CertifiedAugust 14, 2026

✔ NPI 1710911375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in NC · 9801106

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedPediatricsTaxonomy 208000000X · License 9801106 (NC)

6118 FARRINGTON RD STE A, Chapel Hill, NC 27517

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

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

BLAKE ALEXANDER BARTON MD

Internal Medicine (Sports Medicine)