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

Jared Robert Kelly, PA-C

Individual provider Psychiatry Physician · NPI 1497215248

Jared Robert Kelly, PA-C is a Physician Assistant in Salisbury, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2018, 8 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
In the registry since
2019
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone: (818) 391-7794
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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 0010-08856 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0010-08856 (NC)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 0010-08856 (NC)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 0010-08856 (NC)

Record details

NPI number1497215248
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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