Kelly Rae Durham, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101510 Issued in NC

Practice address

1165 Cedar Point Blvd Ste F
Cedar Point, NC 28584-1030

Phone

(252) 364-4690

Fax

(252) 606-4325

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFFFDD/Endpoint/CFFFDD
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Kidmed PLLC

  • Physician Assistant
  • Cedar Point, NC
  • NPI 1306684642
  NPD Authorized official
• Jacksonville Children's and Multispecialty Clinic, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1164519070
  Medicare reassignment
• Amm Healthcare, PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1528639689
  NPD
• Family Care Clinic, P.a.

  • Clinic/Center
  • Jacksonville, NC
  • NPI 1316033590
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1326093956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 CEDAR POINT BLVD STE F",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285841030",
            "telephone_number": "252-364-4690",
            "fax_number": "252-606-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 CEDAR POINT BLVD STE F",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285841030",
            "telephone_number": "252-364-4690",
            "fax_number": "252-606-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "KELLY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Ryan Carney, PA-C
• Lisa G Dabney, MD
• Jarrett Marshall Darrah, DDS
• Dr Donna Michelle Gentry DDS PLLC
• Rebecca Lynn Droberg, CRNP ACNP, MS
• Kaitlyn Paige Eldridge, PHARMD
• Encore Physical Therapy, LLC
• Final Phase LLC (James E Homer, Ocularist)
• Megan Catherine Frank, MS, APRN, FNP-C
• James D Gadue, DPT

• Physician Assistant in Cedar Point, NC
• Providers in Cedar Point, 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 Nov 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.