Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
THOMAS CLARK KELLAM
Active
Individual
THOMAS CLARK KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2025-02829
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2025-02829
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
35.143319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459528
—
OH
Enumeration date
04/24/2017
Last updated
08/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up