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DR. KELLY LYNNE PERRYMAN MD
NPI 1720838006
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since March 27, 2024PECOS Enrolled
2001 VAIL AVE STE 400, CHARLOTTE, NC 28207(704) 304-7113 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Lynne Perryman Md NPPES

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

DR. KELLY LYNNE PERRYMAN MD (NPI 1720838006) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720838006
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELLY LYNNE PERRYMANCredential: MD
Location Address2001 VAIL AVE STE 400Charlotte, NC 28207-1222
Mailing Address2001 Vail Ave Ste 400Charlotte, NC 28207-1222
Phone(704) 304-7113
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1720838006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 VAIL AVE STE 400, Charlotte, NC 28207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Lynne Perryman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. LAKSHMI NAMRATHA KONERU MD
Student in an Organized Health Care Education/Training Program
2001 VAIL AVE STE 400
CHARLOTTE, NC 28207
Mecklenburg County (609) 832-4252
JAMAL JARRETT MD
Student in an Organized Health Care Education/Training Program
2001 VAIL AVE STE 400
CHARLOTTE, NC 28207
Mecklenburg County (913) 544-7794
RACHEL NORTON
Pharmacist (Ambulatory Care)
2001 VAIL AVE STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
JACK DAVID LEDFORD III PHARM.D.
Pharmacist
2001 VAIL AVE STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
PRISCILLA TUTU
Family Medicine (Geriatric Medicine)
2001 VAIL AVE STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
CHELLEY KAYE ALEXANDER M.D.
Family Medicine
2001 VAIL AVE STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000

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 Perryman's NPI number?

The NPI number for Kelly Perryman is 1720838006. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Kelly Perryman located?

Kelly Perryman practices at 2001 Vail Ave Ste 400, Charlotte, NC 28207. The listed phone number is (704) 304-7113.

What is Kelly Perryman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Perryman enrolled in Medicare?

Yes. Kelly Perryman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Perryman was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.