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

Individual provider Medical Physician Assistant · NPI 1982717484

Kelly Blankenship Spry, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2000, 26 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and West Virginia.

Years since qualifying
26
Licensed in
NC, WV
In the registry since
2006
Specialties on file
3
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

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Phone: (704) 332-1291
Fax: (704) 926-1832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-7243
  • 1249 15th St, Huntington, WV 25701-3662 — (304) 691-8714

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103658 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 103658 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1973 (WV)

Record details

NPI number1982717484
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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