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

Dr. Michael Edward Kelly, MD

Individual provider Surgery Physician · NPI 1922115070

Dr. Michael Edward Kelly, MD is a General Surgery in Knoxville, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1997, 29 years ago. Practices with Premier Surgical Associates PLLC, a 61-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
29
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9430 Park West Blvd Ste 310
Knoxville, TN 37923-4203
Phone: (865) 690-5263
Fax: (865) 588-3740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD34159 (TN)

Record details

NPI number1922115070
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESOctober 10, 2013

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Premier Surgical Associates Pllc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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