Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Bilello Hammoudi, PA-C

Individual provider Physician Assistant · NPI 1386909414

Kelly Bilello Hammoudi, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2012, 14 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2012
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

1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915
Phone: (336) 448-2427
Fax: (336) 765-2869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1830 S Hawthorne Rd, Winston Salem, NC 27103-4014 — (336) 448-2427

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 222051 (NC)

Record details

NPI number1386909414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 4, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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