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KELLY ANNE GILL PA-C
NPI 1801308929
Physician Assistant in Charlotte, NC

Active since October 30, 2017PECOS Enrolled
5500 EXECUTIVE CENTER DR STE 206, CHARLOTTE, NC 28212(984) 777-9940(877) 794-5929 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Dec 12, 2023, Feb 25, 2021 and 4 more (7 updates tracked since 2017).

About Kelly Anne Gill Pa-c NPPES

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

KELLY ANNE GILL PA-C (NPI 1801308929) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-08262) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801308929
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ANNE GILLCredential: PA-C
Location Address5500 EXECUTIVE CENTER DR STE 206Charlotte, NC 28212-8864
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0351 · Fax (919) 350-7687
Phone(984) 777-9940
Fax(877) 794-5929
Sole ProprietorNo
Enumeration DateOctober 30, 2017
Last NPPES UpdateJune 23, 20257 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1801308929 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 · 0010-08262
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.
5500 EXECUTIVE CENTER DR STE 206, Charlotte, NC 28212
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Other Identifiers 1

Medicaid1801308929NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Anne Gill 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28212 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 2

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

CELESTE BRAIN HEALTH PLLC
Psychiatry & Neurology (Neurology)
5500 EXECUTIVE CENTER DR STE 206
CHARLOTTE, NC 28212
Mecklenburg County (984) 777-9940
DR. SUMUL MODI M.D.
Psychiatry & Neurology (Neurology)
5500 EXECUTIVE CENTER DR STE 206
CHARLOTTE, NC 28212
Mecklenburg County (984) 777-9940

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 Gill's NPI number?

The NPI number for Kelly Gill is 1801308929. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Kelly Gill located?

Kelly Gill practices at 5500 Executive Center Dr Ste 206, Charlotte, NC 28212. The listed phone number is (984) 777-9940.

What is Kelly Gill's specialty?

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

Is Kelly Gill enrolled in Medicare?

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

What insurance does Kelly Gill accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Gill 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 Gill was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.