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

Individual provider Physician Assistant · NPI 1972508828

Mrs. Kelly Blount, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2001, 25 years ago. Practices with Raleigh Medical Group PA, a 99-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
25
Licensed in
NC
In the registry since
2005
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

5603 Duraleigh Rd Ste 111
Raleigh, NC 27612-2688
Phone: (919) 791-0840
Fax: (919) 791-0911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 103450 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1972508828
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Raleigh Medical Group Pa — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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