James Stephen Kelling, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD61069919 Issued in WA

Practice address

187 Medical Park Dr
Brevard, NC 28712-4189

Phone

(828) 884-9362

Fax

(828) 884-3851

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1013061217

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1720023641
  NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Puyallup, WA
  • NPI 1841550530
  NPD

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1194724831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 214TH ST SE STE 300",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214418",
            "telephone_number": "425-412-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MEDICAL PARK DR",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124189",
            "telephone_number": "828-884-9362",
            "fax_number": "828-884-3851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16825 Rosman Hwy",
            "address_purpose": "LOCATION",
            "city": "Lake Toxaway",
            "state": "NC",
            "postal_code": "287479593",
            "country_code": "US",
            "telephone_number": "828-862-6900",
            "fax_number": "828-862-6904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 Medical Park Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124191",
            "country_code": "US",
            "telephone_number": "828-885-5709",
            "fax_number": "828-885-5766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123378",
            "country_code": "US",
            "telephone_number": "828-884-9111",
            "fax_number": "828-883-5104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Gallimore Rd",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287128874",
            "country_code": "US",
            "telephone_number": "828-884-9030",
            "fax_number": "828-884-3563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 214th St SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980214418",
            "country_code": "US",
            "telephone_number": "425-412-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLING",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01074",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2007-01074",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "2007-01074",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61069919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1477W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "P020681",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Kanetzke, DPT
• Susan Mary Karr, RPH
• Barry Steven Katell, RPH
• Kim R Keifrider, PT
• Mary Kelley
• Lisa D Kent, ED.S.
• Gerald T Kilpatrick, MD
• Thomas Seung Kim, DPT
• Kingsbridge House, LLC
• Brandi Duncan Kitchen, PHARMD

• Internal Medicine Physician in Brevard, NC
• Providers in Brevard, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.