KEVIN G. KELLY, M.D.
NPI 1770887945
Family Medicine in Russellville, AL

NPI Status: Active since January 03, 2011

Contact Information

13150 HIGHWAY 43
SUITE 10
RUSSELLVILLE, AL
ZIP 35653
Phone: (256) 332-5901
Fax: (256) 332-6911

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  • Organization
  • Family Medicine

About KEVIN G. KELLY, M.D.

This page provides the complete NPI Profile along with additional information for Kevin G. Kelly, M.d., a primary care provider established in Russellville, Alabama operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1770887945 assigned on January 2011. The practitioner's primary taxonomy code is 207Q00000X with license number 8497 (AL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kevin G. Kelly M.d. (Owner)

NPI
1770887945
Provider Name
KEVIN G. KELLY, M.D.
Entity Type
Organization
Location Address
13150 HIGHWAY 43 SUITE 10 RUSSELLVILLE, AL 35653
Location Phone
(256) 332-5901
Location Fax
(256) 332-6911
Mailing Address
13150 HIGHWAY 43 SUITE 10 RUSSELLVILLE, AL 35653
Mailing Phone
(256) 332-5901
Mailing Fax
(256) 332-6911
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2011
Last Update Date
01-03-2011
Code Navigator

A primary care provider (PCP) like Kevin G. Kelly, M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
8497
License State
AL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN G. KELLY M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(256) 332-5901

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C70170MEDICARE UPIN (02)AL 
01253MEDICARE PIN (08)AL 
000001253MEDICAID (05)AL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770887945
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401681498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 6 + 8 + 1 + 4 + 9 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1770887945 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366474397FREDS STORES OF TENNESSEE INC
Organization
Pharmacy (Community/Retail Pharmacy)13150 HIGHWAY 43
RUSSELLVILLE, AL 35653
(256) 331-5031
1063594539RUSSELLVILLE MUSCULOSKELETAL CENTER INC.
Organization
Orthopaedic Surgery13150 HIGHWAY 43 SUITE 12
RUSSELLVILLE, AL 35653
(256) 332-6215
1689837288NORTHWEST SLEEP CENTER PC
Organization
Clinic/Center (Sleep Disorder Diagnostic)13150 HIGHWAY 43 SUITE 13
RUSSELLVILLE, AL 35653
(256) 332-6363
1639406416URGENT CARE OF RUSSELLVILLE, LLC
Organization
Durable Medical Equipment & Medical Supplies13150 HIGHWAY 43 SUITE 10
RUSSELLVILLE, AL 35653
(256) 331-2092
1821325606URGENT CARE OF RUSSELLVILLE, LLC
Organization
Clinic/Center (Urgent Care)13150 HIGHWAY 43 SUITE 10
RUSSELLVILLE, AL 35653
(256) 331-2092
1568799344RUSSELLVILLE DIAGNOSTICS CENTER, LLC
Organization
Radiology (Diagnostic Radiology)13150 HIGHWAY 43 SUITE 11
RUSSELLVILLE, AL 35653
(256) 332-1996
1710972385 KEVIN GERARD KELLY
Individual
Family Medicine13150 HIGHWAY 43 SUITE 10
RUSSELLVILLE, AL 35653
(256) 332-5901
1073866489 JENA WILLIAMS HAMM CRNP
Individual
Nurse Practitioner (Family)13150 HIGHWAY 43 STE 10
RUSSELLVILLE, AL 35653
(256) 331-2092
1972811453DR. YOLANDA RENEE ELLISON PHARMD
Individual
Pharmacist13150 HIGHWAY 43
RUSSELLVILLE, AL 35653
(256) 331-5031
1902145188KEVIN GERARD KELLY
Organization
Clinic/Center (Rural Health)13150 HIGHWAY 43 SUITE 10
RUSSELLVILLE, AL 35653
(256) 332-5901
1497297493 NATALINE EVELYN PENNINGTON CRNP
Individual
Nurse Practitioner (Family)13150 HIGHWAY 43 SUITE 10
RUSSELLVILLE, AL 35653
(256) 331-2092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770887945, enumerated in the NPI registry as an "organization" on January 03, 2011

The provider is located at 13150 Highway 43 Suite 10 Russellville, Al 35653 and the phone number is (256) 332-5901

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 03, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.