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

ERIN COLLEEN KELLY
NPI 1780579862
Physician Assistant in Charlotte, NC

Q: What is Erin Kelly's NPI number?

The NPI number for Erin Kelly is 1780579862. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Erin Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Erin Kelly was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 10, 2025

125 QUEENS RD STE 430, CHARLOTTE, NC 28204(980) 302-6300(980) 302-6305 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 7, 2026, Jun 10, 2025 (2 updates tracked since 2025).

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About Erin Colleen Kelly NPPES

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

ERIN COLLEEN KELLY (NPI 1780579862) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-17021) and active in the NPI registry since June 2025. The provider maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1780579862

Entity TypeIndividual

Primary Taxonomy363A00000X

Provider Legal NameERIN COLLEEN KELLY

Location Address125 QUEENS RD STE 430Charlotte, NC 28204-3579

Mailing Address106 Denton RdMadisonville, TN 37354-7807

Phone(980) 302-6300

Fax(980) 302-6305

Sole ProprietorNo

Enumeration DateJune 10, 2025

Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1780579862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-17021

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

125 QUEENS RD STE 430, Charlotte, NC 28204

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Secondary Practice Location 1

Location 1779 Meeting St Unit ACharleston, SC 29403-3121 · Phone (720) 308-7022

Other Identifiers 1

Medicaid1780579862NC

Other Providers at the Same Location NPPES 18

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

KATHERINE A A MCCULLOUGH PA

Physician Assistant