Individual provider Active NPI

Kelly Erin McElroy, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Kernersville, NC
National Provider Identifier
1184007312
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15877 Issued in MD
Practice address
900 Old Winston Rd Ste 204
Kernersville, NC 27284-9965
Phone
(336) 992-2123
Fax
(336) 992-2330
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 15877 MD Primary

Addresses

Primary practice location

900 Old Winston Rd Ste 204
Kernersville, NC 27284-9965

Mailing address

900 Old Winston Rd Ste 204
Kernersville, NC 27284-9965
Phone (336) 992-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 3, 2025 through Jul 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15877MDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa G. Biggerstaff, DDS, MD, PA Oral and Maxillofacial Surgery CurrentSince Jan 4, 2026 Accepting new patients
DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho Oral and Maxillofacial Surgery PastSince Jan 4, 2026 Accepting new patients

Locations

900 Old Winston Rd
Ste 204
Kernersville, NC 27284
Phone (336) 992-2123

Interoperability endpoints

  • Direct secure messaging: kmcelroy2902307@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1184007312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD STE 204",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849965",
            "telephone_number": "336-992-2123",
            "fax_number": "336-992-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD STE 204",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849965",
            "telephone_number": "336-992-2123",
            "fax_number": "336-992-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "KELLY",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "15877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.