Individual provider Active NPI

Janet L. Kelley, MD

  • Obstetrics & Gynecology Physician
  • Longview, TX
National Provider Identifier
1225005531
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L7446 Issued in TX
Practice address
1111 N 6TH St
Longview, TX 75601-5537
Phone
(903) 753-7658
Fax
(903) 236-0385
NPI assigned
Mar 6, 2006
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L7446 TX Primary

Addresses

Primary practice location

1111 N 6TH St
Longview, TX 75601-5537

Mailing address

PO Box 847176
Suite 5007
Dallas, TX 75284-7176
Phone (903) 237-1800

Other identifiers 1

IdentifierTypeStateIssuer
168124905MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040612000698 TX Practitioner - Obstetrics/Gynecology 8527041193 Reassigns benefits to 3 organizations
I20181112000922 FL Practitioner - Obstetrics/Gynecology 8527041193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longview Wellness Center IncGroup PAC ID 1254367766, 22 clinicians
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone (864) 908-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Nov 26, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
The Specialists for Women of Texarkana PLLC CurrentSince Jul 17, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 4, 2018 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince Feb 19, 2015 Accepting new patients
Sacred Heart Health System Inc CurrentSince Oct 1, 2018 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Longview Wellness Center, Inc. Obstetrics & Gynecology CurrentSince Feb 19, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 4, 2018 Accepting new patients
Longview Wellness Center, Inc Obstetrics & Gynecology Current Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Jan 2, 2022 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

1002 Texas Blvd
Ste 200
Texarkana, TX 75501
Phone (903) 792-1404

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1225005531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847176",
            "address_2": "SUITE 5007",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847176",
            "telephone_number": "903-237-1800",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015537",
            "telephone_number": "903-753-7658",
            "fax_number": "903-236-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JANET",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L7446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168124905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.