ZACHARY ALEC KELLY
NPI 1942706239
Otolaryngology - Pediatric Otolaryngology in Charleston, SC
About Zachary Alec Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY ALEC KELLY (NPI 1942706239) is an individual pediatric otolaryngology provider in Charleston, South Carolina, licensed in South Carolina (92046) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Emory University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Zachary Alec Kelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Zachary Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29425
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 Zachary Kelly's NPI number?
The NPI number for Zachary Kelly is 1942706239. It was assigned to this individual provider in the NPPES registry on April 4, 2018.
Where is Zachary Kelly located?
Zachary Kelly practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Zachary Kelly's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.
Is Zachary Kelly enrolled in Medicare?
Yes. Zachary Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Zachary Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Kelly reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and Emory Medical Care Foundation Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Kelly accept?
Health plans from First Choice Next and Oscar Health list Zachary Kelly 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 Zachary Kelly was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Zachary Alec Kelly · NPI 1942706239
Pediatric Otolaryngology physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since April 4, 2018.
## Identity
- **NPI:** 1942706239 (Entity type: Individual)
- **Enumerated:** April 4, 2018
- **Primary specialty:** Otolaryngology - Pediatric Otolaryngology · taxonomy 207YP0228X
- **State license:** 92046 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-2401
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942706239) · Data from the CMS NPPES public registry.