GRACE P KELLY MD (NPI# 1598933616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598933616 |
| Entity Type | Organization |
| Organization Name | GRACE P KELLY MD |
| Practice Address |
5000 Highway 39 N Meridian MS 39301-1021 |
| Practice Telephone | 6014535393 |
| Practice Fax Number | 6015819936 |
| Mailing Telephone | 6014535393 |
| Mailing Fax Number | 6015819936 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | DR. GRACE PATRICIA KELLY (OWNER) |
| Authorized Official Telephone | 6014535393 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
MS11556 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS | 072503544E | 01 |
| MS | 0001284 | 05 |
| Street Address |
5000 HIGHWAY 39 N |
| 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 |
| 1215145222 | Jessica E Gordon | Psychiatry & Neurology | 5000 Highway 39 N, Meridian, MS 39301 | 2007-05-21 |
| 1932232931 | Alliance Health Center, Inc. | Psychiatric Residential Treatment Facility | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2007-03-13 |
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336361336 | Jon E. Ashton | Psychologist | 2273 East Gala, Suite 100, Meridian, ID 83642-7289 | 2007-05-02 |
| 1619025251 | Dale Arlan Babcock | Psychologist | 1500 West Barrett Drive, Meridian, ID 83642 | 2007-01-08 |
| 1649564196 | Ben Swanson | Psychologist | 2584 N Stokesberry Pl, Meridian, ID 83646-1144 | 2011-06-01 |
| 1306047980 | Bonnie Ruth Allen | Psychologist | 1622 24th Ave, Meridian, MS 39301-3111 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1467001313 | Ashley Brianne Batastini | Psychologist | 412 S 22nd Ave, Hattiesburg, MS 39401-7315 | 2019-09-04 |
| 1396202693 | Sondra Jones Satcher | Psychologist | 50 Robins Lake Rd, Natchez, MS 39120-9311 | 2019-02-23 |
| 1073083945 | Daniel Locke Deason | Psychologist | 320 Lester Hall, University, MS 38677 | 2018-12-04 |
| 1275028193 | Jacqueline Reese-smith | Psychologist | 1400 J. R. Lynch Street, Department of Psychology, Jackson, MS 39217 | 2018-06-22 |
| 1689033268 | Chandra Nicole Strange | Psychologist | 118 College Dr # 5025, Hattiesburg, MS 39406-0001 | 2016-02-11 |
| 1659641538 | Gregory Lee Futral | Psychologist | 304 Emerald Ln, Hattiesburg, MS 39401-6313 | 2012-01-09 |
| 1629361399 | Jeffrey S Lawley | Psychologist | 400 Veterans Ave Bldg 25, Biloxi, MS 39531-2410 | 2011-05-27 |
| 1386970622 | Jane Schenck Varner | Psychologist | 400 Veterans Ave # 116b, Biloxi, MS 39531-2410 | 2009-10-21 |
| 1205037512 | Janise A. Hinson | Psychologist | 4500 I-55 North Suite #208, Highland Village, Jackson, MS 39211 | 2007-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRACE P KELLY MD.
| 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.