Chevette Kelly

Individual provider Active NPI Attendant Care Provider · Bayboro, NC

NPI 1457148686 · NPPES record last updated Apr 22, 2025

Key facts

NPI
1457148686
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
16543 NC Highway 55
Bayboro, NC 28515-8002
Phone
(919) 980-1372
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
C. Kelly Holdings, Inc Current
since Apr 27, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

16543 NC Highway 55
Bayboro, NC 28515-8002

Mailing address

9869 NC Highway 55 E
New Bern, NC 28560-5216
Phone (919) 980-1372

Other providers in Bayboro, NC

All providers in Bayboro, NC · Attendant Care Provider in North Carolina

Sources for this page

Verify at the official NPI Registry.