Individual provider Active NPI

Ashlyn Christine Kelly, PA-C

  • Physician Assistant
  • Aiken, SC
National Provider Identifier
1063994317
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5920 Issued in SC
Practice address
2062 Whiskey Rd
Aiken, SC 29803-6183
Phone
(866) 389-2727
NPI assigned
Sep 4, 2018
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10839 GA
Physician Assistant 363A00000X 5920 SC Primary

Addresses

Primary practice location

2062 Whiskey Rd
Aiken, SC 29803-6183

Mailing address

2062 Whiskey Rd
Aiken, SC 29803-6183
Phone (803) 507-4798

Other practice location 1

2703 Washington Rd
Augusta, GA 30909-2244
Phone (803) 507-4798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220607000672 GA Practitioner - Physician Assistant 9032452149 Reassigns benefits to 3 organizations
I20251117002341 SC Practitioner - Physician Assistant 9032452149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

2062 Whiskey Rd
Aiken, SC 29803-6183
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56132CAMDMarriage & Family Therapist
10839GAMDNeurology Physician
5920SCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Physician Assistant CurrentSince Nov 4, 2025 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jun 1, 2022 Accepting new patients
Minuteclinic Video Virtual Care, PLLC CurrentSince Oct 17, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC CurrentSince Oct 17, 2025 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Physician Assistant CurrentSince Oct 17, 2025 Accepting new patients
Neighborhood Improvement Project, Inc Current Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jun 1, 2022 Accepting new patients
Primary Care PLLC Physician Assistant CurrentSince Nov 4, 2025 Accepting new patients

Locations

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

2703 Washington Rd
Augusta, GA 30909
Phone (706) 737-4939

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

2062 Whiskey Rd
Aiken, SC 29803
Phone (803) 648-2339

8995 University Blvd
North Charleston, SC 29406
Phone (843) 414-0710

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1063994317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036183",
            "telephone_number": "803-507-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036183",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2703 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309092244",
            "country_code": "US",
            "telephone_number": "803-507-4798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ASHLYN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10839",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.