Active NPI
Lauren Nicole Kelley, PA
- Physician Assistant
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010090
- Practice address
- 2425 Taylor Rd
Chesapeake, VA 23321-2201 - Phone
- (757) 215-1800
- NPI assigned
- Jan 9, 2019
- Last updated
- Aug 19, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110010090 | VA | Primary |
Addresses
Primary practice location
2425 Taylor Rd
Chesapeake, VA 23321-2201
Mailing address
6477 Girvan CT Apt 362
Memphis, TN 38134-8860
Phone (757) 537-7455
Other practice location 1
2832 Coleman Rd
Memphis, TN 38128-5815
Phone (901) 344-1447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VAExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1239 Cedar Rd
Chesapeake, VA 23322-7103
Phone (757) 549-9935
2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579
2425 Taylor Rd
Chesapeake, VA 23321-2201
Phone (757) 215-1800
332 Newtown Rd
Virginia Beach, VA 23462-1793
Phone (757) 473-8400
601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396
611 Denbigh Blvd
Newport News, VA 23608-4415
Phone (757) 283-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First Richmond Medical Group PLLC | Current | Accepting new patients | |
| Patient First Richmond Medical Group PLLC | Current | Accepting new patients |
Locations
6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087
2425 Taylor Rd
Chesapeake, VA 23321
Phone (757) 215-1800
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396
Interoperability endpoints
- vaexchange@patientfirstclinics.com
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.
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1689603748
DC
-
dba Sound Physicians Emergency of Greater Memphis
- Emergency Medicine Physician
- Brentwood, TN
- NPI 1548677610
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1518747526
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1801677083
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1609657873
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1023899291
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Urgent Care Clinic/Center
- Fairfax, VA
- NPI 1588018881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1144793506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6477 GIRVAN CT APT 362",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381348860",
"telephone_number": "757-537-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 TAYLOR RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233212201",
"telephone_number": "757-215-1800"
}
],
"practiceLocations": [
{
"address_1": "2832 Coleman Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381285815",
"country_code": "US",
"telephone_number": "901-344-1447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010090",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VAExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2425 Taylor Rd",
"city": "Chesapeake",
"state": "VA",
"country_code": "US",
"postal_code": "233212201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.