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

Theodore M. Kelley, MD

Individual provider Family Medicine Physician · NPI 1154520823

Theodore M. Kelley, MD is a Family Practice in Locust, North Carolina. Graduated from University of Tennessee, Hsc, College of Medicine in 2007, 19 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 2 locations and offers telehealth. Licensed in North Carolina.

Years since qualifying
19
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

123 Professional Park Dr
Locust, NC 28097-7712
Phone: (704) 403-6760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12925 Highway 601, Midland, NC 28107-9535 — (704) 888-3702

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2009-00823 (NC)

Record details

NPI number1154520823
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESJuly 15, 2024
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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