CHARLES E.KELLY & COMPANY (NPI# 1184021347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184021347 |
Entity Type | Organization |
Organization Name | CHARLES E.KELLY & COMPANY |
Other Organization Name | TIPPIN BANK & TRUST COMPANY |
Practice Address |
409 Oak St Claxton GA 30417-1351 |
Practice Telephone | 9127391122 |
Mailing Telephone | 9127391122 |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-03 |
Authorized Official Name | MR. CHARLES E KELLY SR. (MARKET COMMUNICATION SPECIALIST) |
Authorized Official Telephone | 9127391122 |
Authorized Official Credential | DOC |
Is Organization Subpart | Y |
Parent Organization Name | GLENVILLE BANK |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP1600X |
Counselor Specialization: Pastoral |
GA | Behavioral Health & Social Service Providers | |
N | 251B00000X | Case Management | GA | Agencies | |
N | 251S00000X | Community/Behavioral Health | GA | Agencies | |
Y | 305R00000X | Preferred Provider Organization | GA | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | GATEWAY AUTHORITY | 1399374 | 01 |
Other Name | Type Code |
---|---|
TIPPIN BANK & TRUST COMPANY | Doing Business As Name - Organization |
Street Address |
409 OAK ST |
City | CLAXTON |
State | GA |
Zip Code | 30417-1351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235621418 | East Georgia Healthcare Center Inc | Clinic/Center | 6459 Us Hwy 301 S, Claxton, GA 30417 | 2018-06-04 |
1760717433 | Evans Memorial Hospital | Family Medicine | 602 A E. Long St., Claxton, GA 30417 | 2009-10-13 |
1215147095 | Lindy Homer Morgan | Chiropractor | 604 West Liberty Street, Claxton, GA 30417 | 2007-05-23 |
1588792113 | Home Care Aids, Inc. | Durable Medical Equipment & Medical Supplies | 107-b S. Duval St., Claxton, GA 30417 | 2007-03-02 |
1245314053 | Paul R Hawkins | Family Medicine | 501 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
1235213158 | Jesse B Scott | Internal Medicine | 602 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
1336533199 | Optim Orthopedics, LLC | Orthopaedic Surgery | 209 North River Street, Claxton, GA 30417 | 2015-03-19 |
1649555178 | Suzannah Jo Williamson | Nurse Practitioner | 602 E. Long Street, Claxton, GA 30417 | 2011-10-16 |
1073963476 | Claxton Family Dentistry LLC | Dentist | 201 E Long St, Claxton, GA 30417-1409 | 2016-06-16 |
1659489490 | Daniel Michael Tootle | Pharmacist | 305 E Long St, Claxton, GA 30417-1411 | 2006-08-29 |
Find all providers in zip 30417 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.