Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allie Black Kelly, PAC

Individual provider Physician Assistant · NPI 1598151177

Allie Black Kelly, PAC is a Physician Assistant in Charlotte, North Carolina. Qualified in 2015, 11 years ago. Practices with Orthocarolina, PA, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, North Carolina and South Carolina.

Years since qualifying
11
Licensed in
FL, NC, SC
In the registry since
2015
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2001 Vail Ave Ste 200
Charlotte, NC 28207-1222
Phone: (704) 323-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15825 Ballantyne Medical Pl Ste 100, Charlotte, NC 28277-0745 — (704) 323-3400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05675 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA9108675 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 2733 (SC)

Record details

NPI number1598151177
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESJune 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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