Kelley Stafford Helquist, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

063239 Issued in GA

Practice address

714 N Dawson St
Thomasville, GA 31792-4451

Phone

(904) 252-7761

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Memorial Hospital

  • Critical Access Hospital
  • Blakely, GA
  • NPI 1548214018
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1013079847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 14TH ST NW",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281412",
            "telephone_number": "904-252-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N DAWSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924451",
            "telephone_number": "904-252-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELQUIST",
        "first_name": "KELLEY",
        "middle_name": "STAFFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "063239",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME101757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000406200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalind Haywood, RN
• Health One Private in Homecare, Inc
• Health Smart Labs LLC
• Heart2Hands Homecare Inc.
• Rudolf Jakob Hehn, MD
• Hennessy Hearing Ga, LLC
• Heritage Foundation Inc
• Heritage Foundation Inc
• Heritage Foundation Inc.
• Shane Wright Herrin, M.D.

• Diagnostic Radiology Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.