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

Mr. Timothy P Kelley, PA-C

Individual provider Physician Assistant · NPI 1679654057

Mr. Timothy P Kelley, PA-C is a Physician Assistant in Mooresville, North Carolina. Qualified in 1999, 27 years ago. Practices with Avance Care PA, a 244-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
27
Licensed in
NC
In the registry since
2006
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

202 Williamson Rd Ste 100
Mooresville, NC 28117-7610
Phone: (704) 799-7811
Fax: (704) 799-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001000651 (NC)

Record details

NPI number1679654057
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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