Kelli R Sheffield, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103649 Issued in NC

Practice address

1900 Ashwood CT
Greensboro, NC 27455-3005

Phone

(336) 282-1414

Fax

(336) 282-1515

NPI assigned

Apr 1, 2006

Last updated

Jun 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Skin Surgery Center PA

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1649237082
  Medicare reassignment Care Compare group NPD
• Carolina Dermatology Center

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1750490306
  NPD
• Moses Cone Affiliated Physicians, Inc.

  dba Carolina Dermatology Center

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1790082873
  NPD
• Moses Cone Affiliated Physicians, Inc.

  dba Preston S. Clark, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1891008207
  NPD
• Skin Surgery Center PA

  dba The Skin Surgery Center of Charleston

  • MOHS-Micrographic Surgery Physician
  • Mount Pleasant, SC
  • NPI 1851810279
  NPD

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1154382646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ASHWOOD CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553005",
            "telephone_number": "336-282-1414",
            "fax_number": "336-282-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ASHWOOD CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553005",
            "telephone_number": "336-282-1414",
            "fax_number": "336-282-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "KELLI",
        "middle_name": "R",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012273-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Ali Shazib, DMD
• Shear Passion Hair Studio LLC
• Robert Hunter Shearin, RPH
• Arin Sheeler, SLP
• Inga Rose Sheffield, RN, MSN
• Omair Sheikh, D.O.
• Sonya Elyea Shell
• Sydney Shell
• Joy E. Shelnutt, L.P.T.
• Lisa Luanne Shelor-Flores, MSW ACSW LCSW

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.

Verify at the official NPI Registry.