Individual provider · Type 1 NPI

Kelly Anne Gill, PA-C

Physician Assistant · Charlotte, NC

NPI number 1801308929 Active

Practice location

5500 Executive Center Dr Ste 206
Charlotte, NC 28212-8864

Call (984) 777-9940 Map

Fax (877) 794-5929

Mailing address

PO Box 603949
Charlotte, NC 28260-3949

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	0010-08262 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801308929

Kelly Anne Gill, PA-C's National Provider Identifier is 1801308929, issued on Oct 30, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 23, 2025.