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

Kelley Carlson, MD

Individual provider Emergency Medicine Physician · NPI 1710113063

Kelley Carlson, MD is an Emergency Medicine in Charlotte, North Carolina. Graduated from University of Michigan Medical School in 2009, 17 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Trained at
University of Michigan Medical School
Licensed in
NC
In the registry since
2009
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

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2012-01202 (NC)

Record details

NPI number1710113063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2009
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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