Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelly Stevens, PA

Physician Assistant in Greensboro, NC · enumerated 2005 · practices at Carolina Medicorp Enterprises, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104811959

Verified

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Registry record

Entity type Individual (Type 1)

Name Kelly Stevens

Credential PA

Sex Female

Practice address 2635 Lawndale Dr, Greensboro, NC, 27408

Phone (336) 867-4310

Enumeration date Sep 19, 2005

Last updated in NPPES Dec 10, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 055.0031677 (VT) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 41208 (MT) Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA3513 (FL) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0010-11495 (NC) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
291575800	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kelly Stevens?

Kelly Stevens is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Tamra Cheek Physician Assistant · Greensboro, NC NPI 1720403694 Tewana Passmore Nurse Practitioner · Greensboro, NC NPI 1609262146 Christian Neff Physician Assistant · Greensboro, NC NPI 1710350665 Srisai Tenjerla Physician Assistant · Greensboro, NC NPI 1528849882 Carolina Medicorp Enterprises, LLC Urgent Care Clinic/Center · Greensboro, NC NPI 1508741067

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-10.