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

Kelsey Jean Anderson, PA

Individual provider Physician Assistant · NPI 1679967749

Kelsey Jean Anderson, PA is a Physician Assistant in Kernersville, North Carolina. Qualified in 2014, 12 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
12
Licensed in
NC, SC
In the registry since
2015
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.

See every abbreviation used in this directory →

Practice location Address checks out

1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198
Phone: (336) 564-4950
Fax: (336) 564-4959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2200 Crow Ln, Myrtle Beach, SC 29577-1663 — (843) 848-5000
  • 768 Country Club Dr, Pawleys Island, SC 29585-8094 — (937) 776-6792

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11902 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA2325 (SC)

Record details

NPI number1679967749
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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