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

Kelly A Bennett, PA

Individual provider Medical Physician Assistant · NPI 1982634762

Kelly A Bennett, PA is a Physician Assistant in Statesville, North Carolina. Graduated from Eastern Virginia Medical School in 2005, 21 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
21
Trained at
Eastern Virginia Medical School
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
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

700 Sullivan Rd
Statesville, NC 28677-3440
Phone: (704) 924-9111
Fax: (704) 883-0452
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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 0010-02297 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110002137 (VA)

Record details

NPI number1982634762
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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