Zane Penton Kelly, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1-134397 Issued in AL

Practice address

115 Herren Hill Rd
Tallassee, AL 36078-1276

Phone

(334) 283-3477

Fax

(334) 283-4162

NPI assigned

Nov 1, 2018

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Hospital IncGroup PAC ID 2062408487, 15 clinicians

John K.L. Porter, D.O., PCGroup PAC ID 3971818758, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Inc Hospital, Tallassee, AL, CCN 010034
• Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
• Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/commal-d9d80e4d

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

• Community Hospital Inc

  dba Tallassee Internal Medicine

  • Internal Medicine Physician
  • Tallassee, AL
  • NPI 1295040376
  Medicare reassignment Care Compare group NPD
• John K.L. Porter, D.O., PC

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1083096747
  Medicare reassignment Care Compare group
• Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
  • NPI 1033890876

  AL

  Medicare reassignment NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  AL

  Medicare reassignment NPD
• Community Hospital Inc

  dba Tuskegee Medical and Surgical Clinic

  • Family Medicine Physician
  • Tuskegee, AL
  • NPI 1922135425
  NPD
• Community Hospital, Inc

  • Family Medicine Physician
  • Tallassee, AL
  • NPI 1114982360
  NPD
• Community Hospital

  • General Acute Care Hospital
  • Tallassee, AL
  • NPI 1447218235
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital Inc

  • Rural Acute Care Hospital
  • Tallassee, AL
  • NPI 1730120726
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Ivy Creek of Elmore, LLC

  dba Elmore Community Hospital

  • General Acute Care Hospital
  • Wetumpka, AL
  • NPI 1588795942
  Care Compare affiliation
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  Care Compare affiliation

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1043787526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HERREN HILL RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781276",
            "telephone_number": "334-283-3477",
            "fax_number": "334-283-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HERREN HILL RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781276",
            "telephone_number": "334-283-3477",
            "fax_number": "334-283-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ZANE",
        "middle_name": "PENTON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-134397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerkins Inc (East Tallassee Pharmacy)
• Jerkins Inc (The Apothecary Shop)
• John S Rose DMD PC (Tallassee Family Dentistry)
• Collin Jones
• Shawn Keahey, DDS
• Mary Kate Lackey
• Donna Lindsey
• Morgan Brantley Lock, PHARMD
• Suzanne M Lynch
• Magnolia Place Eyecare LLC

• Family Medicine Physician in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.