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

Thomas Clark Kellam

Individual provider Family Medicine Physician · NPI 1043745375

Thomas Clark Kellam is a Family Practice in Winston Salem, North Carolina. Qualified in 2017, 9 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Ohio.

Years since qualifying
9
Licensed in
NC, OH
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

200 Robinhood Medical Plz
Winston Salem, NC 27106-5471
Phone: (336) 718-7950
Fax: (336) 718-7989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 272 Hospital Rd, Chillicothe, OH 45601-9031 — (740) 779-4598

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 2025-02829 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2025-02829 (NC)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 35.143319 (OH)

Record details

NPI number1043745375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem