KERNERSVILLE PRIMARY CARE
NPI 1972566933
Family Medicine in Kernersville, NC

Q: What is William S. Kelly MD PA's NPI number?

The NPI number for William S. Kelly MD PA is 1972566933. It was assigned to this organization in the NPPES registry on April 10, 2006. The provider is doing business as Kernersville Primary Care.

Q: What is William S. Kelly MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 10, 2006CLIA 34D0910641 · Waiver

420 W MOUNTAIN ST, KERNERSVILLE, NC 27284(336) 993-1618(336) 993-5512 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kernersville Primary Care NPPES

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

KERNERSVILLE PRIMARY CARE (NPI 1972566933) is a healthcare organization registered as a family medicine in Kernersville, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Joanelle V Kelly, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972566933

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWILLIAM S. KELLY MD PA

Location Address420 W MOUNTAIN STKernersville, NC 27284-2534

Mailing Address420 W Mountain StKernersville, NC 27284-2534 · (336) 993-1618 · Fax (336) 993-5512

Phone(336) 993-1618

Fax(336) 993-5512

Organization SubpartNo

Authorized OfficialJoanelle V KellyOffice Manager · (336) 993-1618

Enumeration DateApril 10, 2006

Last NPPES UpdateOctober 24, 2013

✔ NPI 1972566933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 40743

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 40743 (NC)

420 W MOUNTAIN ST, Kernersville, NC 27284

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Other Names 1

Doing Business AsKernersville Primary Care

Other Identifiers 3

Medicare PIN2319708

Medicaid890293KNC

Other080107394NC · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0910641

Kernersville Primary Care · Kernersville, NC

Active · expires Jan 23, 2028

CLIA Number34D0910641

Laboratory TypePhysician Office

Certificate Effective DateJanuary 24, 2026

Certificate Expiration DateJanuary 23, 2028

Laboratory DirectorAndrew Chow

Laboratory Phone(336) 993-1618

Laboratory LocationKernersville Primary Care420 W Mountain Street, Kernersville, NC 27284

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

GENERATIONS FAMILY PRACTICE, PA

Family Medicine