JARED ROBERT KELLY (NPI# 1497215248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497215248 |
| Entity Type | Individual |
| Full Name | JARED ROBERT KELLY |
| Credential | PA-C |
| Practice Address |
612 Mocksville Ave Salisbury NC 28144-2732 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8183917794 |
| Mailing Telephone | 7042105061 |
| Mailing Fax Number | 7042105337 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0010-08856 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0010-08856 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
0010-08856 | NC | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 0010-08856 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225533474 | Jared M Kelly | Internal Medicine | 800 Meadows Rd, Boca Raton, FL 33486-2304 | 2018-03-29 |
| Street Address |
612 MOCKSVILLE AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305831 | Zhong Yu | Internal Medicine | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-06-09 |
| 1093348609 | Lauren Nolan | Physician Assistant | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2020-02-21 |
| 1689210585 | Novant Medical Group, Inc. | Psychiatry & Neurology | 612 Mocksville Ave, Salisbury, NC 28144 | 2019-11-26 |
| 1447806443 | Rowan Regional Medical Center, Inc | General Acute Care Hospital | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2019-08-15 |
| 1285113019 | Taylor Gazaway Duncan | Physician Assistant | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-08-13 |
| 1801385091 | Jamie Warren | Pharmacist | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-05-03 |
| 1538661236 | Jamie T Douthit | Nurse Practitioner | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-03-08 |
| 1508368150 | Andrea Eudy | Nurse Practitioner | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-02-28 |
| 1396247995 | Amanda Kathleen Strickland | Registered Nurse | 612 Mocksville Ave, Salisbury, NC 28144 | 2018-02-28 |
| 1427509116 | Novant Medical Group, Inc | Internal Medicine | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493683 | Haley Rose Thornton | Physician Assistant | 617 Emerald Bay Dr, Salisbury, NC 28146-1582 | 2020-06-25 |
| 1801363262 | Jayme Lynn Isett | Physician Assistant | 314 W Carroll St Ste 1, Salisbury, MD 21801-5409 | 2018-10-24 |
| 1770069353 | Samuel Robert Brittingham | Physician Assistant | 100 E. Carroll St, 3rd Floor, West Tower, Salisbury, MD 21801 | 2018-07-17 |
| 1871950790 | Melissa Noah | Physician Assistant | 31413 Winterplace Pkwy Ste 103, Salisbury, MD 21804-1877 | 2016-01-22 |
| 1013301092 | Megan Way | Physician Assistant | 320 Jake Alexander Blvd W Ste 103, Salisbury, NC 28147-1443 | 2015-03-26 |
| 1932155629 | Lloyd Jeff Taylor | Physician Assistant | 1509 E Innes St, Suite B, Salisbury, NC 28146-6018 | 2006-05-25 |
| 1437119138 | Patricia Deery Adams | Physician Assistant | 1601 Brenner Avenue, Vamc, Salisbury, NC 28144 | 2006-03-25 |
| 1619964327 | Julie Lynn Parrish | Physician Assistant | 314 W Carroll St, Suite 1, Salisbury, MD 21801-5409 | 2005-09-29 |
| 1699778811 | Heidi Elizabeth Callahan | Physician Assistant | 100 E Carroll St, # 400, Salisbury, MD 21801-5422 | 2005-05-23 |
| 1093348609 | Lauren Nolan | Physician Assistant | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2020-02-21 |
| Find all providers in SALISBURY | ||||
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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.