Gold Hill Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9701003 Issued in NC

Legal business name

GOLD HILL FAMILY MEDICINE, PLLC

Practice address

11055 Highway 52
Rockwell, NC 28138-9792

Phone

(704) 209-0418

NPI assigned

Jul 29, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darren Brent Kelly, M.D.NPI 1942298757

Title

Physician

Phone

(704) 782-9175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darren Brent Kelly, M.D.

  • Family Medicine Physician
  • Rockwell, NC
  • NPI 1942298757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1689016925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "281380215",
            "telephone_number": "704-209-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 HIGHWAY 52",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "281389792",
            "telephone_number": "704-209-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD HILL FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-782-9175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Everhart
• Sommer Lataie Ewing, LMFT
• Siera Dawn Fesperman
• Taylor Honeycutt Gobble, FNP
• Darlene Louise Goff-Piersol
• Shawna Renee Gray, CRNA
• Andrea Griffin
• Emma Heglar, COTA/L
• Helping Hands Specialized Transport, Inc
• Bailey Caroline Hoesman

• Family Medicine Physician in Rockwell, NC
• Providers in Rockwell, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.