DR. GRACE PATRICIA KELLY (NPI# 1255462230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255462230 |
| Entity Type | Individual |
| Full Name | DR. GRACE PATRICIA KELLY |
| Credential | MD |
| Practice Address |
5000 Highway 39 N Suite B Meridian MS 39301-1021 |
| Mailing Address |
Po Box 520 Marion MS 39342-0520 |
| Practice Telephone | 6015819942 |
| Practice Fax Number | 6015819936 |
| Mailing Telephone | 6014535393 |
| Mailing Fax Number | 6015819936 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MS11556 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00011284 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780658609 | Grace Ann Kelly | Chiropractor | 1440 5th St, Suite 1, Coralville, IA 52241-1853 | 2006-02-15 |
| 1619501806 | Grace Kelly | Behavioral Analyst | 925 Conference Dr, Greenville, NC 27858-5971 | 2020-02-26 |
| 1578058301 | Grace Katherine Kelly | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-06-25 |
| 1902303779 | Grace Ann Kelly | Occupational Therapist | 4451 Parliament Pl Ste A, Lanham, MD 20706-1868 | 2018-04-09 |
| 1326375171 | Grace Kelly | Physical Therapy Assistant | 850 Paper Mill Rd, Glenside, PA 19038-7833 | 2009-11-14 |
| Street Address |
5000 HIGHWAY 39 N SUITE B |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1629600721 | Shauntae Causey | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2020-02-06 |
| 1184101453 | Diane S Johnson | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2018-07-19 |
| 1245781616 | Primary Medical Services LLC | Family Medicine | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2016-10-20 |
| 1407107451 | Guillermo Hernandez Md Pllc | Behavioral Analyst | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2012-09-29 |
| 1225389273 | Jeffrey L Mcgilbra Md Pllc | Behavioral Analyst | 5000 Highway 39 N, Suite B, Meridian, MS 39301-1021 | 2012-09-29 |
| 1679843544 | Lauren Blair Holmes | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2012-01-09 |
| 1386893717 | Leigh Z Gillespie | Registered Nurse | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2008-09-10 |
| 1598933616 | Grace P Kelly Md | Psychologist | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2008-02-11 |
| 1215145222 | Jessica E Gordon | Psychiatry & Neurology | 5000 Highway 39 N, Meridian, MS 39301 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013056555 | Mary Robin Larkin | Psychiatry & Neurology | 1929 23rd Ave, Meridian, MS 39301-3108 | 2007-02-05 |
| 1417046327 | Terry T Jordan | Psychiatry & Neurology | 5000 Hwy 39 North, Meridian, MS 39301 | 2006-10-11 |
| 1649208315 | Olurotimi A Ashaye | Psychiatry & Neurology | 2947 E Magic View Dr, Suite 1, Meridian, ID 83642-3561 | 2006-06-29 |
| 1578542007 | Jeffrey Louis Mcgilbra | Psychiatry & Neurology | 5000 Highway 39 North, Meridian, MS 39301 | 2006-01-12 |
| 1235373663 | Kim Elliot Nagel | Psychiatry & Neurology | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2009-04-29 |
| 1215145222 | Jessica E Gordon | Psychiatry & Neurology | 5000 Highway 39 N, Meridian, MS 39301 | 2007-05-21 |
| 1124234307 | Patricia Lynn Dudley | Psychiatry & Neurology | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2007-05-15 |
| 1891816823 | Scott P. Hoopes, M.d., P.a. | Psychiatry & Neurology | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2007-04-03 |
| 1164563805 | Ratus Pllc | Psychiatry & Neurology | 2365 E Gala St, Suite 2, Meridian, ID 83642-4881 | 2007-02-08 |
| 1386796654 | Ruben Cruz | Psychiatry & Neurology | 1818 College Drive, Meridian, MS 39307-5429 | 2007-01-17 |
| Find all providers in MERIDIAN | ||||
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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.