Kyle Gilmore Pelligra, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05500 Issued in NC

Practice address

7228 Pittsboro-Moncure Rd
Moncure, NC 27559

Phone

(919) 542-4991

Fax

(919) 542-3726

NPI assigned

Feb 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpelligra@goshenmedical.cloudcraftdirect.com

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.

• Goshen Medical Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Goldsboro, NC
  • NPI 1194128991
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Piedmont Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
  • NPI 1164526109
  NPD (past)

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1487046850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 PITTSBORO-MONCURE RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "27559",
            "telephone_number": "919-542-4991",
            "fax_number": "919-542-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 PITTSBORO-MONCURE RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "27559",
            "telephone_number": "919-542-4991",
            "fax_number": "919-542-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLIGRA",
        "first_name": "KYLE",
        "middle_name": "GILMORE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2023-10-16",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-05500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Martin, MD
• John Messenheimer, MD
• Yareli Gabriela Morehouse, PA-C
• Navid Nesab, DDS
• Nathalie Elizabeth Ortiz Pate, PA-C
• Christopher M Pennisi, DDS
• Piedmont Health Services, Inc.
• Piedmont Health Services, Inc.
• Piedmont Health Services, Inc.
• Piedmont Health Services, Inc.

• Physician Assistant in Moncure, NC
• Providers in Moncure, 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 Oct 16, 2023; 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.