Timothy P Kelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002569 Issued in GA

Practice address

3098 Piedmont Rd NE Ste 430
Atlanta, GA 30305-2600

Phone

(404) 477-1589

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Timothy Kelly, Inc.

  • Chiropractor
  • Atlanta, GA
  • NPI 1245448604
  Medicare reassignment Authorized official
• Gabriel a Kelly, LLC

  • Chiropractor
  • Atlanta, GA
  • NPI 1629823273
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063592558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 PIEDMONT RD NE STE 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052600",
            "telephone_number": "404-477-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 PIEDMONT RD NE STE 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052600",
            "telephone_number": "404-477-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED ID #",
            "identifier": "581926737",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precious Kelly, MSN,FNP-C
• Sean Patrick Kelly, M.D.
• Shanell N/a Kelly
• Sheena Shanell Kelly, LPC
• Tchoumteu Kelly
• Yolanda Denise Kelly
• Leslie Kelman, M.D.,
• Elizabeth Eleanor Kelsey, PA-C
• Riba Kelsey, MD
• Charlotte Kelso, EDS, LATC

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.