MISS CAROLYN GREEN KELLAWAY (NPI# 1457647604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457647604 |
| Entity Type | Individual |
| Full Name | MISS CAROLYN GREEN KELLAWAY |
| Credential | PA-C |
| Practice Address |
5 Firstvillage Drive Pinehurst NC 28374 |
| Mailing Address |
Po Box 105 Troy NC 27371-0105 |
| Practice Telephone | 9102956831 |
| Practice Fax Number | 9102950244 |
| Mailing Telephone | 9102956831 |
| Mailing Fax Number | 9102950244 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2019-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001003031 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 FIRSTVILLAGE DRIVE |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850274 | Huey Willy Chu | Surgery | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2005-06-09 |
| 1851877005 | Chelsea Lynn Mitek | Registered Nurse | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2018-07-11 |
| 1922554088 | Tracy Christina Mcadoo | Nurse Practitioner | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-08-29 |
| 1093260549 | Lillian Grace Schnitzer | Nurse Practitioner | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-08-24 |
| 1679923635 | Keynadomnicia Chioma Udenze | Nurse Practitioner | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-06-20 |
| 1144687609 | Desek Coray Gibson | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-01-28 |
| 1043675291 | Robert A Bibey | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2015-12-15 |
| 1033532791 | Stephen M. Bush | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2014-01-30 |
| 1437590072 | Catherine Jane Helming-sauter | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2013-07-11 |
| 1073951844 | Taylor Mccauley | Obstetrics & Gynecology | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2013-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659737542 | Jonathan Christopher Kearns | Physician Assistant | 120 Applecross Rd, Pinehurst, NC 28374-8520 | 2016-01-07 |
| 1942474689 | Jessica Edwards Mccaskill | Physician Assistant | 125 Fox Holw, Suite 210, Pinehurst, NC 28374-8511 | 2008-04-14 |
| 1518062041 | Elena M Avila | Physician Assistant | 185 Page Rd, Suite A, Pinehurst, NC 28374-8747 | 2006-09-13 |
| 1841848678 | Shannon M Ellis | Physician Assistant | 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 | 2019-08-26 |
| 1881101236 | Hannah M Palko | Physician Assistant | 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 | 2018-01-08 |
| 1942667449 | Tiffany Anne Clowers | Physician Assistant | 289 Olmsted Blvd, Suite 5, Pinehurst, NC 28374-8729 | 2016-01-28 |
| 1750747895 | Joseph Cain | Physician Assistant | 125 Fox Hollow Rd, Suite 210, Pinehurst, NC 28374-8592 | 2016-01-05 |
| 1235551292 | Andrew Maxwell Williams | Physician Assistant | 125 Fox Hollow Road, Suite 210, Pinehurst, NC 28374-8593 | 2014-01-10 |
| 1154590529 | Ian Stack | Physician Assistant | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2008-02-29 |
| 1497877872 | David Anthony Castle | Physician Assistant | 10 Aviemore Dr, Pinehurst, NC 28374 | 2007-04-04 |
| Find all providers in PINEHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.