Charles S Kelly (NPI# 1104895267, PAC ID# 2163550377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104895267 |
| PAC ID by PECOS | 2163550377 |
| Professional Enrollment ID | I20100510000332 |
| Full Name | Charles S Kelly |
| Organization Legal Name | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Address |
1 Medical Park Dr Fulton MS 38843-9001 |
| Phone Number | 6628625200 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6103736665 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Dr, Fulton, MS 38843-9001 | 6628625200 | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Organization Legal Name | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Physicians | 119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Alford Luter | Internal Medicine | North Mississippi Medical Clinics Inc | 845 S Madison, Tupelo, MS 38801-4905 |
| Luke J Campbell | Family Medicine | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Ginger Mcmillan-buchanan | Nurse Practitioner | North Mississippi Medical Clinics Inc | 1301 N 2nd St, Booneville, MS 38829-1028 |
| Margaret D Fava | Nurse Practitioner | North Mississippi Medical Clinics Inc | 903 Mississippi Dr, Tupelo, MS 38804-0928 |
| Deanna Leigh Sanders | Nurse Practitioner | North Mississippi Medical Clinics Inc | 5062 Raymond Ave, Tupelo, MS 38801-8671 |
| Lauren C Waldrop | Nurse Practitioner | North Mississippi Medical Clinics Inc | 104 As Madison St, Tupelo, MS 38804-4732 |
| Richmond D Mccarty | Family Medicine | North Mississippi Medical Clinics Inc | 125 Turner Park Rd, Saltillo, MS 38866 |
| Winnie S Simmons | General Practice | North Mississippi Medical Clinics Inc | 49 Turner St, Maben, MS 39750-9157 |
| John G Shields | Obstetrics/gynecology | North Mississippi Medical Clinics Inc | 373 Medical Ctr Cir, The Women's Group West Point, West Point, MS 39773-0432 |
| Gerald A Turner | Family Medicine | North Mississippi Medical Clinics Inc | 755 Emergency Dr, West Point, MS 39773-9276 |
| Street Address |
1 MEDICAL PARK DR |
| City | FULTON |
| State | MS |
| Zip | 38843-9001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| G Scott S Dicus | Internal Medicine | Saline Clinics LLC | 1 Medical Park Dr, Benton, AR 72015-3353 |
| Ahmad Yousaf | Internal Medicine | Saline Clinics LLC | 1 Medical Park Dr, Benton, AR 72015-3353 |
| Adam Huang | Internal Medicine | Saline Clinics LLC | 1 Medical Park Dr, Benton, AR 72015-3353 |
| Jeffrey P Stewart | Cardiovascular Disease (cardiology) | Saline Clinics LLC | 1 Medical Park Dr, Benton, AR 72015-3353 |
| Christopher Paul Davis | Family Medicine | App of South Carolina Hm Pllc | 1 Medical Park Dr, Chester, SC 29706-9769 |
| Jeffrey H Neuhauser | Cardiac Electrophysiology | Saline Clinics LLC | 1 Medical Park Dr, Benton, AR 72015-3353 |
| Zachary Morrill | Internal Medicine | Saline Clinics LLC | 1 Medical Park Dr, Benton, AR 72015-3353 |
| Jennifer Faughn Neighbors | Nurse Practitioner | Saline Clinics LLC | 1 Medical Park Dr, Benton, AR 72015-3353 |
| Lura A Brown | Physician Assistant | Helena Dermatology and Laser Clinic PC | 1 Medical Park Dr, Helena, MT 59601-8022 |
| Alexander D Marion | Ophthalmology | 1 Medical Park Dr, Chester, SC 29706-9769 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph D Ritch | Chiropractic | 508 E Main St, Family Chiropractic Clinc, Fulton, MS 38843-2004 | |
| Jerry W Mcbride | Optometry | 301 Hospital Rd, Fulton, MS 38843-6003 | |
| Tara B Enlow | Nurse Practitioner | Express Care of Fulton | 204 Interchange Dr, Fulton, MS 38843-6011 |
| Joseph John Elmer | Physical Therapy | Outpatient Rehabilitation Center of Fulton Inc | 406 Interchange Dr, Fulton, MS 38843-6013 |
| Julie N Benjamin | Occupational Therapy | Outpatient Rehabilitation Center of Fulton Inc | 406 Interchange Dr, Fulton, MS 38843-6013 |
| Rachel T Chism | Qualified Speech Language Pathologist | Outpatient Rehabilitation Center of Fulton Inc | 406 Interchange Dr, Fulton, MS 38843-6013 |
| Robin C Sansing | Physical Therapy | Outpatient Rehabilitation Center of Fulton Inc | 406 Interchange Dr, Fulton, MS 38843-6013 |
| Rodolfo N Arriola | Family Practice | 418 Hospital Rd, Fulton, MS 38843-6017 | |
| Mitchell R Williams | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | |
| Laurie W Cagle | Optometry | 402 Access Rd, Fulton, MS 38843-6607 | |
| Find all physicians in zip 38843 | |||
| City | FULTON |
| Zip Code | 38843 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FULTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles S Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.