Active NPI
Kelly J. McElligott, AU.D., CCC-A
- Audiologist
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201002004
- Practice address
- 9513 Amberdale Dr
North Chesterfield, VA 23236-1256 - Phone
- (804) 373-8224
- Fax
- (804) 369-9658
- NPI assigned
- Aug 15, 2017
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201002004 | VA | Primary |
Addresses
Primary practice location
9513 Amberdale Dr
North Chesterfield, VA 23236-1256
Mailing address
9513 Amberdale Dr
North Chesterfield, VA 23236-1256
Phone (804) 373-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201002004 | Other | VA | STATE AUDIOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Tennessee, HSC, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9513 Amberdale Dr
North Chesterfield, VA 23236-1256
Phone (804) 373-8224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Hearing Solutions, PLLC | Audiologist | Current | Accepting new patients |
| Tennessee Ear, Nose & Throat Consultants, PC | Audiologist | Current | Accepting new patients |
| Allergy Associates, P.a. | Past | Accepting new patients |
Locations
9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534
9430 Park West Blvd
Ste 335
Knoxville, TN 37923
Phone (865) 693-6065
Dept 888604
Knoxville, TN 37995
576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534
9513 Amberdale Dr
North Chesterfield, VA 23236
Phone (804) 373-8224
Organizations & group practices 3
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.
-
- Audiologist
- North Chesterfield, VA
- NPI 1053927038
-
- Otolaryngology Physician
- Knoxville, TN
- NPI 1255352266
Audiologist
-
- Specialist
- Knoxville, TN
- NPI 1073508347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1104342864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9513 AMBERDALE DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232361256",
"telephone_number": "804-373-8224",
"fax_number": "804-369-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9513 AMBERDALE DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232361256",
"telephone_number": "804-373-8224",
"fax_number": "804-369-9658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELLIGOTT",
"first_name": "KELLY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201002004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE AUDIOLOGY LICENSE",
"identifier": "2201002004",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.