Active NPI
Kelly Weeks Meads, PA-C
- Medical Physician Assistant
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 103831
- Practice address
- 1144 N Road St Ste 200
Elizabeth City, NC 27909-3473 - Phone
- (252) 384-2360
- Fax
- (252) 384-2359
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103831 | NC | Primary |
Addresses
Primary practice location
1144 N Road St Ste 200
Elizabeth City, NC 27909-3473
Mailing address
1144 N Road St Ste 200
Elizabeth City, NC 27909-3473
Phone (252) 384-2360
Other practice location 1
701 Luke St
Suite C
Edenton, NC 27932-9643
Phone (252) 482-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Elizabeth City, NC 27909
Phone (252) 334-0402
1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 384-4804
905 Thunder Rd
Elizabeth City, NC 27909-7672
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103831 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Albemarle Physician Services- Sentara, Inc. | Current | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
701 Luke St
Ste C
Edenton, NC 27932
Phone (252) 482-5011
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Interoperability endpoints
- kmeads290657@direct.sentara.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Urgent Care Clinic/Center
- Kitty Hawk, NC
- NPI 1306202627
-
- Critical Care Medicine (Anesthesiology) Physician
- Elizabeth City, NC
- NPI 1851660260
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1013907765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 N ROAD ST STE 200",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093473",
"telephone_number": "252-384-2360",
"fax_number": "252-384-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 N ROAD ST STE 200",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093473",
"telephone_number": "252-384-2360",
"fax_number": "252-384-2359"
}
],
"practiceLocations": [
{
"address_1": "701 Luke St",
"address_2": "SUITE C",
"address_purpose": "LOCATION",
"city": "Edenton",
"state": "NC",
"postal_code": "279329643",
"country_code": "US",
"telephone_number": "252-482-5011",
"fax_number": "252-482-0390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADS",
"first_name": "KELLY",
"middle_name": "WEEKS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.