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

Andrea Maluta Kelly, PA

Individual provider Physician Assistant · NPI 1689956641

Andrea Maluta Kelly, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Charlotte Gastroenterology and Hepatology PLLC, a 76-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2015 Randolph Rd Ste 208
Charlotte, NC 28207-1241
Phone: (704) 377-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001004126 (NC)

Record details

NPI number1689956641
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESNovember 20, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Charlotte Gastroenterology And Hepatology Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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