Active NPI
Kelly J Trogdon, PA-C
- Medical Physician Assistant
- Asheboro, NC
National Provider Identifier
1144221508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 103601
- Practice address
- 360 Sunset Ave
Asheboro, NC 27203-5612 - Phone
- (336) 625-8410
- Fax
- (336) 625-8405
- NPI assigned
- Aug 9, 2005
- Last updated
- Jul 13, 2026
- 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 | 103601 | NC | Primary |
Addresses
Primary practice location
360 Sunset Ave
Asheboro, NC 27203-5612
Mailing address
360 Sunset Ave
Asheboro, NC 27203-5612
Phone (336) 625-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103601 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLK Dermatology PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Asheboro, NC
- NPI 1780453464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144221508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SUNSET AVE",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035612",
"telephone_number": "336-625-8410",
"fax_number": "336-625-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SUNSET AVE",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035612",
"telephone_number": "336-625-8410",
"fax_number": "336-625-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROGDON",
"first_name": "KELLY",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
- Triad Eye Associates of Asheboro OD PA
- Triad Therapy Mental Health Center, LLC
- Triad Therapy Mental Health Center, LLC
- Trina's Hairtique LLC (Hair Remedy)
- Brooke Leigh Trogdon, LCSW
- Laura Harris Trogdon, MS-CCC/SLP
- Hannah Trone, LMFT-A
- Janice K Troxler, RN
- Tru-Image Medical
- Christina Lynn Tucker, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.