Individual provider Active NPI

Ashton Haynes Kelley, APRN

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1275048894
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010090 Issued in NC
Practice address
1220 Magnolia St
Greensboro, NC 27401-1309
Phone
(336) 938-0800
Fax
(336) 938-0755
NPI assigned
Dec 5, 2017
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010090 NC Primary
Family Nurse Practitioner 363LF0000X 2021039843 MO
Family Nurse Practitioner 363LF0000X A005241 AR

Addresses

Primary practice location

1220 Magnolia St
Greensboro, NC 27401-1309

Mailing address

1220 Magnolia St
Greensboro, NC 27401-1309
Phone (336) 938-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220616001610 MO Practitioner - Nurse Practitioner 4981965373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5010090NCMDNurse Practitioner
A005241ARMDFamily Nurse Practitioner
2021039843MOMDFamily Nurse Practitioner
300222NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Educational Specialists, LLC Single Specialty CurrentSince Mar 8, 2022 Accepting new patients
Eagle Physicians and Associates, P.a. Single Specialty CurrentSince Jan 7, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Single Specialty PastSince Aug 24, 2026 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation PastSince Aug 24, 2026 Accepting new patients

Locations

100 S Keene St
Columbia, MO 65201
Phone (573) 777-4700

1000 W Nifong Blvd
Ste 156
Columbia, MO 65203
Phone (573) 777-4700

1910 N Church St
Ste A
Greensboro, NC 27405
Phone (336) 676-4388

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1275048894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MAGNOLIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011309",
            "telephone_number": "336-938-0800",
            "fax_number": "336-938-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAGNOLIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011309",
            "telephone_number": "336-938-0800",
            "fax_number": "336-938-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ASHTON",
        "middle_name": "HAYNES",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010090",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021039843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.