MR. TIMOTHY P KELLEY


Address: 202 Williamson Rd Ste 100, Mooresville, NC 28117-7610
Phone: 7047997811

MR. TIMOTHY P KELLEY (NPI# 1679654057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679654057
Entity Type Individual
Full Name MR. TIMOTHY P KELLEY
Credential PA-C
Practice Address 202 Williamson Rd Ste 100
Mooresville
NC 28117-7610
Mailing Address 202 Williamson Rd
Ste 100
Mooresville
NC 28117-7610
Practice Telephone 7047997811
Practice Fax Number 7047997812
Mailing Telephone 7047997811
Mailing Fax Number 7047997812
Enumeration Date 2006-10-18
Last Update Date 2020-09-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 001000651 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 8101237 05
IL 085001277 05
NC 1679654057 05

Other Providers TIMOTHY KELLEY

NPI Name Taxonomy Address Enumeration
1134681059 Timothy Kelley Durable Medical Equipment & Medical Supplies 1903 Turner Mccall Blvd Se, Rome, GA 30161-3366 2019-04-01
1710223698 Timothy Eugene Kelley Counselor 313 West Third Street, Suite 204, La Junta, CO 81050 2012-12-20
1356443972 Timothy Michael Kelley Jr. Chiropractor 94 State St, Heuvelton, NY 13654 2006-09-03
1790148245 Timothy Kelley Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2016-04-01
1871528802 Timothy Kelley Otolaryngology 520 Superior Ave, Ste 270, Newport Beach, CA 92663-3637 2006-07-11
1295788420 Timothy S. Kelley Social Worker 7305 N Military Trl, Va Medical Center, Riviera Beach, FL 33410-7417 2006-05-18
1376501395 Timothy Kelley Nurse Anesthetist, Certified Registered 877 Jefferson Ave, Memphis, TN 38103-2807 2006-05-01

Office Location

Street Address 202 WILLIAMSON RD STE 100
City MOORESVILLE
State NC
Zip Code 28117-7610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497739775 Mitchell Parker Registered Nurse 202 Williamson Rd Ste 100, Mooresville, NC 28117-7610 2005-12-01
1285265488 Ashley Elizabeth Butler Physician Assistant 202 Williamson Rd Ste 100, Mooresville, NC 28117-7610 2020-01-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891356648 Teleoptometric Service, P.C. Optometrist 392 Talbert Rd, Mooresville, NC 28117 2019-06-24
1992268544 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 392 Talbert Rd., Mooresville, NC 28117 2019-04-10
1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
1447605928 Renewal Counseling, Pllc Counselor 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 2016-05-03
Find all providers in zip 28117

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275148421 James Cameron Fields Physician Assistant 532 Bridgestone Dr, Mooresville, IN 46158-7304 2020-09-14
1679103055 Aaron Cole Chapman Physician Assistant 260 Mccrary Rd, Mooresville, NC 28117-8859 2020-01-24
1639733017 Margaret Ann Small Physician Assistant 114 Gateway Blvd Ste D, Mooresville, NC 28117-5595 2019-05-01
1255728044 Veronica Bradley Physician Assistant 149 Plantation Ridge Dr Ste 190, Mooresville, NC 28117-9178 2015-04-20
1881009058 Michelle Billups Physician Assistant 150 Fairview Rd Ste 230, Mooresville, NC 28117 2014-06-26
1770919995 Donna Michele Forsee Physician Assistant 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117-7134 2013-09-19
1447698303 Bradley James Hicks Physician Assistant 170 Medical Park Rd Ste 102, Mooresville, NC 28117-8541 2013-06-12
1427396886 Kristin Nicole Oden Physician Assistant 106 Corporate Park Dr # 200300, Mooresville, NC 28117-7133 2013-01-19
1063746444 Sarah Noelle Brandt Physician Assistant 123 Professional Park Dr Ste 200, Mooresville, NC 28117 2009-10-01
1184848137 Michelle Elizabeth Mccracken-brown Physician Assistant 1000 Lowes Blvd, Mooresville, NC 28117-8520 2007-04-12
Find all providers in MOORESVILLE

Competitor

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City MOORESVILLE
Zip Code 28117

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Dataset Information

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.

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