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KELLY TEABO PA-C
NPI 1780091918
Physician Assistant in Raleigh, NC

Active since July 21, 2014PECOS Enrolled
1616 E MILLBROOK RD STE 110, RALEIGH, NC 27609(919) 341-4016 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 7, 2023, Jan 17, 2023, Aug 17, 2021 (3 updates tracked since 2021).

About Kelly Teabo Pa-c NPPES

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

KELLY TEABO PA-C (NPI 1780091918) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (001005135) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780091918
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY TEABOCredential: PA-C
Location Address1616 E MILLBROOK RD STE 110Raleigh, NC 27609-4971
Mailing Address131 Saundersville Rd, Ste 160Hendersonville, TN 37075-8903 · (615) 824-3737 · Fax (910) 795-1583
Phone(919) 341-4016
Sole ProprietorNo
Enumeration DateJuly 21, 2014
Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1780091918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 001005135
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1616 E MILLBROOK RD STE 110, Raleigh, NC 27609
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Other Names 1

Former Name (1)Kelly Mclean Pa-c

Secondary Practice Locations 2

Location 1265 Brookview Centre Way Ste 400Knoxville, TN 37919-4052 · Phone (865) 328-7689 · Fax (910) 795-1583
Location 28505 E Oak Island DrOak Island, NC 28465-8166 · Phone (603) 303-8281 · Fax (910) 795-1583

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Teabo Pa-c 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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services47 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
45 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MED FIRST URGENT CARE, PLLC
Clinic/Center (Urgent Care)
1616 E MILLBROOK RD STE 110
RALEIGH, NC 27609
Wake County (919) 341-4016

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 Teabo's NPI number?

The NPI number for Kelly Teabo is 1780091918. It was assigned to this individual provider in the NPPES registry on July 21, 2014. The provider is also known as Kelly Mclean Pa-C.

Where is Kelly Teabo located?

Kelly Teabo practices at 1616 E Millbrook Rd Ste 110, Raleigh, NC 27609. The listed phone number is (919) 341-4016.

What is Kelly Teabo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Teabo enrolled in Medicare?

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

What insurance does Kelly Teabo accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly Teabo 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 Kelly Teabo was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.