Anastasia Kelley, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18977 Issued in MS

Practice address

2124 Government St
Ocean Springs, MS 39564-3937

Phone

(228) 818-9050

Fax

(228) 872-6300

NPI assigned

Oct 11, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Magnolia Psychiatric PA

  • Psychologist
  • Ocean Springs, MS
  • NPI 1306031752
  NPD
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235228297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643937",
            "telephone_number": "228-818-9050",
            "fax_number": "228-872-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643937",
            "telephone_number": "228-818-9050",
            "fax_number": "228-872-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ANASTASIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "18977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02783391",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip T Jung
• Christopher P. Karcher, MD
• Cindi Kauveiyakul-Fox, PA-C
• Jennifer Kazmierski
• Katrina Keay
• Kellie's Kidz, LLC
• Angela Kellum, PHARMD
• Katherine Bailey Kennedy, RN
• Katherine Kepple, DPT
• John Kessler, RPH

• Psychiatry Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Psychiatry Physician in Mississippi

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.