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

Phillip Antonio Kelley, PA-C

Individual provider Physician Assistant · NPI 1083055396

Phillip Antonio Kelley, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2013, 13 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

390 W Salem Ave
Winston Salem, NC 27101-5861
Phone: (336) 721-2375
Fax: (336) 721-2394
Show map & directions

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

Additional practice locations (5)

  • 794 S Main St Ste B, Kernersville, NC 27284-4074 — (336) 904-2317
  • 1977 Cotton Grove Rd, Lexington, NC 27292-5721 — (336) 243-3000
  • 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177 — (704) 638-1551
  • 250 Charlois Blvd, Winston Salem, NC 27103-1508 — (336) 718-1000
  • 2452 Fairlawn Ct, Winston Salem, NC 27106-3884 — (336) 443-9910

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04383 (NC)

Record details

NPI number1083055396
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winston Salem