Individual provider Active NPI

Kelly A Ellington, WHNP-BC

  • Women's Health Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1265822407
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5007447 Issued in NC
Practice address
2076 NC Highway 42 W Ste 250
Clayton, NC 27520-5304
Phone
(919) 550-3334
NPI assigned
Jan 26, 2015
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5007447 NC Primary
Inpatient Obstetric Registered Nurse 163WX0003X 125046 NC

Addresses

Primary practice location

2076 NC Highway 42 W Ste 250
Clayton, NC 27520-5304

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

550 New Waverly Pl Ste 200
Cary, NC 27518-7412
Phone (919) 467-5941

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellington213388@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170321000257 NC Practitioner - Nurse Practitioner 9830474543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

300 S 3Rd St
Suite C
Smithfield, NC 27577-4575
Phone (919) 938-4040

507 N Brightleaf Blvd
Suite 102
Smithfield, NC 27577-4405
Phone (919) 938-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
125046NCMDInpatient Obstetric Registered Nurse
5007447NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jul 1, 2026 Accepting new patients
Unc Physicians Network LLC CurrentSince Dec 21, 2022 Accepting new patients
Uwh of the Carolinas, PLLC CurrentSince Jan 10, 2017 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Southeast Women's Center, PLLC PastSince Dec 21, 2022 Accepting new patients

Locations

550 New Waverly Pl
Ste 200
Cary, NC 27518
Phone (919) 467-5941

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

300 S 3rd St
Ste C
Smithfield, NC 27577
Phone (919) 938-4040

507 N Brightleaf Blvd
Ste 102
Smithfield, NC 27577
Phone (919) 938-4040

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1265822407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 NC HIGHWAY 42 W STE 250",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205304",
            "telephone_number": "919-550-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 New Waverly Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187412",
            "country_code": "US",
            "telephone_number": "919-467-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5007447",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NC",
            "license": "125046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellington213388@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2076 Nc Highway 42 W Ste 250",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275205304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.