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

Thomas Harold Kelly, MD

Individual provider Diagnostic Radiology Physician · NPI 1639663891

Thomas Harold Kelly, MD is a Diagnostic Radiology in Raleigh, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2018, 8 years ago. Practices with Centra Medical Group LLC, a 717-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Virginia.

Years since qualifying
8
Trained at
Medical University of South Carolina College of Medicine
Licensed in
NC, SC, VA
In the registry since
2018
Specialties on file
3
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

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone: (919) 781-1437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 171 Ashley Ave, Charleston, SC 29425-8908 — (843) 792-5976
  • 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 — (434) 200-5047

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2024-00823 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101281313 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 52709 (SC)

Record details

NPI number1639663891
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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