Active NPI
Kelcie Renae Thames, DNP-C
- Family Nurse Practitioner
- Roxboro, NC
National Provider Identifier
1457015703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016172
- Practice address
- 796 Doctors CT
Roxboro, NC 27573-4571 - Phone
- (336) 598-0002
- Fax
- (336) 599-2159
- NPI assigned
- Oct 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016172 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | F10210943 | TN |
Addresses
Primary practice location
796 Doctors CT
Roxboro, NC 27573-4571
Mailing address
796 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 598-0002
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10210943 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Integrative Healthcare of Wilmington, PLLC | Current | Accepting new patients | |
| Roxboro Internal Medicine & Pediatrics, P.a. | Past | Accepting new patients |
Locations
504 Red Banks Rd
Ste C
Greenville, NC 27858
Phone (252) 321-3579
5 Silva Terra Dr
Ste 100
Wilmington, NC 28412
Phone (910) 523-5176
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.
-
- General Practice Physician
- Wilmington, NC
- NPI 1033776323
-
- Internal Medicine Physician
- Roxboro, NC
- NPI 1427016138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1457015703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "796 DOCTORS CT",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734571",
"telephone_number": "336-598-0002",
"fax_number": "336-599-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796 DOCTORS CT",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734571",
"telephone_number": "336-598-0002",
"fax_number": "336-599-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAMES",
"first_name": "KELCIE",
"middle_name": "RENAE",
"credential": "DNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-23",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016172",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "F10210943",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.