Jared Robert Kelly, PA-C is a medicare enrolled "Physician Assistant" physician in Salisbury, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Novant Medical Group Inc and his current practice location is
612 Mocksville Ave, Salisbury, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(818) 391-7794.
Jared Robert Kelly is licensed to practice in North Carolina (license number 0010-08856) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497215248.
Physician's Profile
| Full Name | Jared Robert Kelly |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 612 Mocksville Ave, Salisbury, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jared Robert Kelly attended and graduated from Brody School Of Medicine At East Carolina University in 2018
NPI Data:
- NPI Number: 1497215248
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 10/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032442660
- Enrollment ID: I20190612003890
Medical Identifiers
Medical identifiers for Jared Robert Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497215248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0010-08856 (North Carolina) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 0010-08856 (North Carolina) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 0010-08856 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-08856 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Novant Medical Group Inc | 1153234893 | 2023 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Robert Kelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jared Robert Kelly, PA-C
Po Box 60447,
Charlotte, NC 28260-0447
Ph: (704) 210-5061 | Jared Robert Kelly, PA-C
612 Mocksville Ave,
Salisbury, NC 28144-2732
Ph: (818) 391-7794 |
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