THEODORE M. KELLEY MD – NPI #1154520823
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

THEODORE KELLEY is a physician located in LOCUST, NC. NPPES has assigned the NPI number 1154520823 to THEODORE KELLEY on July 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THEODORE KELLEY below.

NPI Profile for
THEODORE M. KELLEY

NPI Number
1154520823
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THEODORE M. KELLEY
Credentials
MD
Primary location
123 PROFESSIONAL PARK DR
LOCUST, NC 28097-7712
Phone: (704) 403-6760 Fax:
1 Other location(s):
12925 Highway 601
Ste 300
Midland, NC 28107-9535
Phone: (704) 888-3702
Mailing address
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 NC 2009-00823

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
123 PROFESSIONAL PARK DR,
LOCUST, NC 77025-1669

Additional Information

Education
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE - Graduated 2007
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
THEODORE KELLEY is affiliated with the following medical group(s):
  • HOSPITAL
    • CAROLINAS MEDICAL CENTER-NORTHEAST
      920 CHURCH ST N
      CONCORD, NC 28025
    • CAROLINAS MEDICAL CENTER/BEHAV HEALTH
      1000 BLYTHE BLVD
      CHARLOTTE, NC 28203
    • STANLY REGIONAL MEDICAL CENTER
      301 YADKIN ST
      ALBEMARLE, NC 28001
  • HOME HEALTH AGENCY
    • ATRIUM HEALT AT HOME STANLY
      901 NORTH SECOND STREET
      ALBEMARLE, NC 28001
    • BAYADA NURSES INC
      805 TRADE STREET NW
      CONCORD, NC 28027
  • HOSPICE
    • HOSPICE OF STANLY COUNTY INC
      960 NORTH FIRST ST
      ALBEMARLE, NC 28001

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.