Individual provider Active NPI

Kelly A Carney, MD

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1396873667
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2009-01660 Issued in NC
Practice address
97 Cornerstone Dr
Cary, NC 27519-8403
Phone
(919) 460-0993
NPI assigned
Mar 1, 2007
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2009-01660 NC Primary

Addresses

Primary practice location

97 Cornerstone Dr
Cary, NC 27519-8403

Mailing address

PO Box 96860
Charlotte, NC 28296-6860
Phone (919) 460-0993

Other practice location 1

270 Horizon Dr
Raleigh, NC 27615-4922
Phone (919) 845-0623

Other identifiers 1

IdentifierTypeStateIssuer
5916146MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426001807 NC Practitioner - Pediatric Medicine 7416271135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2009-01660NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Apr 10, 2023 Accepting new patients
Raleigh Durham Medical Group PA Pediatrics CurrentSince Apr 10, 2023 Accepting new patients
Raleigh Durham Medical Group PA Pediatrics Current Accepting new patients

Locations

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

7205 Stonehenge Dr
Raleigh, NC 27613
Phone (919) 848-2229

Interoperability endpoints

  • Direct secure messaging: kellycarney@cstp.allscriptsdirect.net

Organizations & group practices 3

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1396873667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96860",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966860",
            "telephone_number": "919-460-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CORNERSTONE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198403",
            "telephone_number": "919-460-0993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Horizon Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276154922",
            "country_code": "US",
            "telephone_number": "919-845-0623",
            "fax_number": "919-488-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2009-01660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.