Individual provider Active NPI

Kelly Hong

  • Physician Assistant
  • North Chesterfield, VA
National Provider Identifier
1366147365
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1011 Johnston Willis Dr Ste 230
North Chesterfield, VA 23235-4808
Phone
(804) 944-9771
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1011 Johnston Willis Dr Ste 230
North Chesterfield, VA 23235-4808

Mailing address

1011 Johnston Willis Dr Ste 230
North Chesterfield, VA 23235-4808
Phone (804) 378-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250509001078 VA Practitioner - Physician Assistant 1850818113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Group IncGroup PAC ID 3577465202, 18 clinicians

Practice addresses (Care Compare)

1471 Johnston Willis Dr
Richmond, VA 23235-4730
Phone (804) 271-8990

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Group Inc CurrentSince Jan 5, 2026 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10130 Hull Street Rd
Midlothian, VA 23112
Phone (804) 276-6900

1471 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 271-8990

500 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 320-1339

Interoperability endpoints

  • Direct secure messaging: kelly.hong.1@11136.direct.athenahealth.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.

Hospital & facility affiliations 3

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": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1366147365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 JOHNSTON WILLIS DR STE 230",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354808",
            "telephone_number": "804-378-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 JOHNSTON WILLIS DR STE 230",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354808",
            "telephone_number": "804-944-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.