KELLIN, PLLC
NPI 1952855413
Psychologist - Clinical in Greensboro, NC
About Kellin, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIN, PLLC (NPI 1952855413) is a healthcare organization registered as a clinical in Greensboro, North Carolina and active in the NPI registry since August 2016. The organization lists Kelly Graves, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellin, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kellin, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kellin, PLLC's NPI number?
The NPI number for Kellin, PLLC is 1952855413. It was assigned to this organization in the NPPES registry on August 12, 2016.
Where is Kellin, PLLC located?
Kellin, PLLC is located at 1175 Revolution Mill Dr Ste 34L, Greensboro, NC 27405. The listed phone number is (336) 355-6206.
What is Kellin, PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kellin, PLLC enrolled in Medicare?
Yes. Kellin, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kellin, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kellin, PLLC, in Clinical Psychologist and Clinical Social Worker. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kellin, PLLC was last updated on September 10, 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.
# Kellin, Pllc · NPI 1952855413
Clinical organization in Greensboro, North Carolina. Organization record, active in the CMS NPPES registry since August 12, 2016.
## Identity
- **NPI:** 1952855413 (Entity type: Organization)
- **Enumerated:** August 12, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Kelly Graves, OWNER
## Practice location
- **Address:** 1175 REVOLUTION MILL DR STE 34L, Greensboro, NC 27405-5168
- **Phone:** (336) 355-6206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (2), Clinical Psychologist (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1952855413) · Data from the CMS NPPES public registry.