DR. ROBERT E KELL M.D NPI 1710086236

NPI Information

NPI: 1710086236
Provider Name: DR. ROBERT E KELL, M.D
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Individual
PECOS Registration: Yes
CLIA Number: 34D0993002
Address: 200 DOCTORS DR STE F
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-1499

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NPI Details

DR. Robert E Kell, M.D is a primary care clinic center in Jacksonville, NC with 54 years of experience. DR. Robert E Kell, M.D NPI is 1710086236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1972

The provider's business location address is:

200 DOCTORS DR STE F
JACKSONVILLE, NC
ZIP 28546-308
Phone: (910) 353-1499
Fax: (910) 355-0404

The NPI 1710086236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 34D0993002 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Urinalysis, manual test (HCPCS:81002)
Hemoglobin a1c level (HCPCS:83036)
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
Blood count, hemoglobin (HCPCS:85018)

The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		9600132	NORTH CAROLINA	No
2	208D00000X	General Practice		9600132	NORTH CAROLINA	No
3	261QP2300X	Clinic/Center	Primary Care	96-00132	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8948308	MEDICAID	NORTH CAROLINA
2	48308	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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