Active NPI
Kelley Osborne Manuel, FNP
- Nurse Practitioner
- Mount Airy, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009620
- Practice address
- 1016 S South St
Mount Airy, NC 27030-5330 - Phone
- (336) 783-8900
- Fax
- (336) 783-3417
- NPI assigned
- Jun 27, 2017
- Last updated
- Jun 2, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009620 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 5009620 | NC |
Addresses
Primary practice location
1016 S South St
Mount Airy, NC 27030-5330
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255
Other practice location 1
2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 716-9150
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1016 S S St
Mount Airy, NC 27030-5330
Phone (336) 783-8900
423 S S St
Mount Airy, NC 27030-4576
Phone (336) 786-5144
830 Rockford St
Mount Airy, NC 27030-5322
Phone (336) 783-8374
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009620 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Northern Hospital District of Surry County | Current | Accepting new patients | |
| Mount Airy Emergency Physicians, PLLC | Current | Accepting new patients | |
| Northern Hospital District of Surry County | Current | Accepting new patients | |
| Northern Hospital of Surry County | Past | Accepting new patients | |
| Northern Hospital District of Surry County | Past | Accepting new patients |
Locations
2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662
1016 S South St
Mount Airy, NC 27030
Phone (336) 783-8900
119 Welch Rd
Ste A
Mount Airy, NC 27030
Phone (336) 719-6200
280 N Pointe Blvd
Mount Airy, NC 27030
Phone (336) 786-4133
423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144
708 S South St
#300
Mount Airy, NC 27030
Phone (336) 783-8030
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- kmanuel@direct.nrh.nchie.net
- kmanuel@nmgfm.gwaydirect.com
- kmanuel3007107@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Mount Airy, NC
- NPI 1609851138
-
dba Hospitalists of Mount Airy
- Internal Medicine Physician
- Mount Airy, NC
- NPI 1114467404
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
dba Northern Urgent Care
- Urgent Care Clinic/Center
- Mount Airy, NC
- NPI 1255950325
-
dba Northern Urgent Care
- Rural Health Clinic/Center
- Mount Airy, NC
- NPI 1720839228
-
dba Northern Obstetrics & Gynecology
- Obstetrics & Gynecology Physician
- Mount Airy, NC
- NPI 1043061559
-
dba Northern Pain Management
- Pain Medicine Physician
- Elkin, NC
- NPI 1205376688
-
- General Practice Physician
- Mount Airy, NC
- NPI 1770161853
-
dba Northern Urology
- Urology Physician
- Mount Airy, NC
- NPI 1225578511
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1508386889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 S SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270305330",
"telephone_number": "336-783-8900",
"fax_number": "336-783-3417"
}
],
"practiceLocations": [
{
"address_1": "2005 Pisgah Church Rd",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274553309",
"country_code": "US",
"telephone_number": "336-716-9150",
"fax_number": "336-702-9166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANUEL",
"first_name": "KELLEY",
"middle_name": "OSBORNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009620",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009620",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.