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

Kelsey Elizabeth Richard, PA-C

Individual provider Physician Assistant · NPI 1124680186

Kelsey Elizabeth Richard, PA-C is a Physician Assistant in Jacksonville, North Carolina. Qualified in 2019, 7 years ago. Practices with Dermatology Associates of Coastal Carolina PA, a 14-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
Specialties on file
2
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

2145 Country Club Rd Ste 100
Jacksonville, NC 28546-0145
Phone: (910) 333-9337
Fax: (910) 333-8607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1124680186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 30, 2019
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dermatology Associates Of Coastal Carolina Pa — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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