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Mr. Timothy P Kelley, PA-C

Physician Assistant in Mooresville, NC · enumerated 2006 · practices at Novant Health Medical Group, LLC.

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

National Provider Identifier

1679654057

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Registry record

Entity type Individual (Type 1)
Name Mr. Timothy P Kelley
Credential PA-C
Sex Male
Practice address 202 Williamson Rd Ste 100, Mooresville, NC, 28117
Phone (704) 799-7811
Fax (704) 799-7812
Enumeration date Oct 18, 2006
Last updated in NPPES Sep 9, 2020

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 001000651 (NC) Primary

Other identifiers

Identifier Type State Issuer
1679654057 Medicaid NC -
8101237 Medicaid NC -
085001277 Medicaid IL -

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

Where does Timothy Kelley practice?
The practice location on file with NPPES is in Mooresville, NC. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Timothy Kelley?
The National Provider Identifier (NPI) for Timothy Kelley is 1679654057, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-09.