NPIMap

Individual provider Active NPI

Kelly Scott Kirby, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1083491872
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018027 Issued in NC
Practice address
2412 Wilkins Dr
Sanford, NC 27330-7268
Phone
(919) 776-6000
NPI assigned
Sep 13, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5018027 NC Primary

Addresses

Primary practice location

2412 Wilkins Dr
Sanford, NC 27330-7268

Mailing address

2412 Wilkins Dr
Sanford, NC 27330-7268
Phone (919) 776-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113001040 NC Practitioner - Nurse Practitioner 4385091313 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians
NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

100 Pavilion Way
Suite E4 and E5
Southern Pines, NC 28387-4559
Phone (910) 684-5078

300 Blake Blvd
Pinehurst, NC 28374-8474
Phone (910) 295-6158

300 Morris Rd
Brevard, NC 28712-9421
Phone (828) 877-4020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5018027NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Dec 15, 2023 Accepting new patients
Ih Physician Services PC CurrentSince Apr 28, 2025 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Dec 15, 2023 Accepting new patients
Ih Physician Services, PC CurrentSince Apr 28, 2025 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

2412 Wilkins Dr
Sanford, NC 27330
Phone (919) 776-6000

100 Pavilion Way
Ste E4
Southern Pnes, NC 28387
Phone (910) 684-5078

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1083491872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WILKINS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307268",
            "telephone_number": "919-776-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WILKINS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307268",
            "telephone_number": "919-776-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KELLY",
        "middle_name": "SCOTT",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.