KELLIE MEDLEY (NPI# 1992182596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992182596 |
| Entity Type | Individual |
| Full Name | KELLIE MEDLEY |
| Credential | NCC, LPCA |
| Practice Address |
222 Morganton Blvd Sw Lenoir NC 28645-5219 |
| Mailing Address |
515 Clanton Rd Charlotte NC 28217-1309 |
| Practice Telephone | 8286102742 |
| Practice Fax Number | 8287588633 |
| Mailing Telephone | 8286102742 |
| Mailing Fax Number | 8287588633 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | A11505 | NC | Other Service Providers |
| Street Address |
222 MORGANTON BLVD SW |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683938 | Shelley Ann Hope | Specialist | 222 Morganton Blvd Sw, Lenoir, NC 28645-5219 | 2005-07-19 |
| 1003417387 | Whitney Guyer Young | Counselor | 222 Morganton Blvd Sw, Lenoir, NC 28645-5219 | 2020-11-04 |
| 1982264099 | Miranda Gainey | Counselor | 222 Morganton Blvd Sw, Lenoir, NC 28645-5219 | 2019-06-20 |
| 1144713231 | Michelle Turner | Counselor | 222 Morganton Blvd Sw, Lenoir, NC 28645-5219 | 2018-06-13 |
| 1306399019 | Abby Lowder | Social Worker | 222 Morganton Blvd Sw, Lenoir, NC 28645-5219 | 2016-07-28 |
| 1437501707 | Delana Turner | Counselor | 222 Morganton Blvd Sw, Lenoir, NC 28645-5219 | 2016-07-11 |
| 1285054411 | Mcleod Addictive Disease Center, Inc. | Community/Behavioral Health | 222 Morganton Blvd Sw, Lenoir, NC 28645-5219 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000976 | Jamel Jones | Case Manager/Care Coordinator | 107 Davelin Pl, Goldsboro, NC 27530-4507 | 2020-10-12 |
| 1043821952 | Tracy Simerson | Case Manager/Care Coordinator | 9021 Duval Hill St, Raleigh, NC 27603-7522 | 2020-08-13 |
| 1104449164 | Yolanda Lynn Simpson | Case Manager/Care Coordinator | 559 Foster Rd, Yanceyville, NC 27379-8914 | 2020-05-26 |
| 1487274064 | J'aunie Y Mcrae-knight | Case Manager/Care Coordinator | 2037 Mlk Jr Dr, Greensboro, NC 27406-3314 | 2020-04-23 |
| 1144849597 | Barbara Denise Gaskins | Case Manager/Care Coordinator | 719 W 15th St Ste 727, Washington, NC 27889-3667 | 2020-04-15 |
| 1386273894 | Human Coalition | Case Manager/Care Coordinator | 4237 Louisburg Rd Ste 105, Raleigh, NC 27604-4348 | 2020-04-06 |
| 1275172298 | Kelsy Timas | Case Manager/Care Coordinator | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2019-12-23 |
| 1972153328 | Monida Fields | Case Manager/Care Coordinator | 4845 Ashley Park Ln Apt 220, Charlotte, NC 28210-4134 | 2019-09-18 |
| 1245884196 | Mildred Hopkins | Case Manager/Care Coordinator | 507 1st St, Spring Hope, NC 27882-9342 | 2019-07-30 |
| 1972167302 | Wfic | Case Manager/Care Coordinator | 811 Wesley Dr, Salisbury, NC 28146-2257 | 2019-05-01 |
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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.