Charles Kelly, D.O

ActiveIndividual ProviderFamily Medicine
NPI issued: March 14, 2006

Quick Facts

NPI Number
1104895267
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(662) 862-5200
StateMS

NPI Validation Status: Verified

Valid 10-digit NPI number (1104895267)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 14, 2006)
Data source: CMS NPPES

Provider Overview

CHARLES KELLY, D.O is a Family Medicine provider based in Fulton, MS who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104895267
Provider TypeIndividual Provider
GenderMale
CredentialD.O
StatusActive
Enumeration DateMarch 14, 2006

Practice Location

CityFulton
StateMS
ZIP Code38843-9001
Phone(662) 862-5200

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMS

Mailing Address

CityFulton
StateMS
ZIP Code38843-9001
Phone(662) 862-5200
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104895267 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104895267for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104895267 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Charles Kelly's NPI number?
Charles Kelly's NPI number is 1104895267, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Charles Kelly's NPI currently active?
Yes, Charles Kelly's NPI status is Active as of the latest CMS NPPES database updates.
What does Charles Kelly specialize in?
Charles Kelly specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Charles Kelly practice?
Charles Kelly practices in Fulton, MS 38843-9001.
When was Charles Kelly's NPI issued?
Charles Kelly's NPI was issued on March 14, 2006.
What is Charles Kelly's provider type?
Charles Kelly is registered as an Individual Provider under CMS NPI Type 1.