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

Kelly Dawkins Bumgardner, NP-C

Individual provider Family Nurse Practitioner · NPI 1063178622

Kelly Dawkins Bumgardner, NP-C is a Nurse Practitioner in Statesville, North Carolina. Qualified in 2021, 5 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

633 Brookdale Dr Ste 100
Statesville, NC 28677-3471
Phone: (704) 873-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5015740 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence BUMG-XQH6C (NC)

Record details

NPI number1063178622
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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