Grace Patricia Kelly, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MS11556 Issued in MS

Practice address

5003 Poplar Springs Dr
Meridian, MS 39305-1625

Phone

(601) 453-5376

Fax

(888) 735-7202

NPI assigned

Mar 8, 2007

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

Enrolled in MS

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 1

Specialty

Psychiatry

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choctaw Regional Medical Center Hospital, Ackerman, MS, CCN 251334

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/chocrmc-b09bb3d6

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.

• Choctaw Regional Medical Center

  dba Choctaw Medical Clinic of Ackerman

  • Family Medicine Physician
  • Ackerman, MS
  • NPI 1235547878
  Medicare reassignment NPD
• Grace P Kelly MD

  • Counseling Psychologist
  • Meridian, MS
  • NPI 1598933616
  NPD Authorized official
• Choctaw Regional Medical Center

  • Critical Access Hospital
  • Ackerman, MS
  • NPI 1568879864
  Medicare reassignment
• Choctaw Regional Medical Center

  dba Choctaw Medical Clinic

  • Rural Health Clinic/Center
  • Ackerman, MS
  • NPI 1003223306
  NPD
• Choctaw Regional Medical Center

  dba Choctaw Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Ackerman, MS
  • NPI 1518374875
  NPD
• Alliance Health Center Inc.

  • Psychiatry Physician
  • Meridian, MS
  • NPI 1679850150
  NPD (past)
• Alliance Health Center, Inc.

  dba The Crossings

  • Psychiatric Residential Treatment Facility
  • Meridian, MS
  • NPI 1932232931
  NPD (past)
• Diamond Grove Center

  • Psychiatric Hospital
  • Louisville, MS
  • NPI 1447350160
  NPD (past)
• Diamond Grove Center

  • Psychiatric Residential Treatment Facility
  • Louisville, MS
  • NPI 1659404572
  NPD (past)
• Family Counseling Services PLLC

  • Mental Health Counselor
  • Meridian, MS
  • NPI 1427082460
  NPD (past)
• Jeffrey L McGilbra MD PLLC

  • Behavior Analyst
  • Meridian, MS
  • NPI 1225389273
  NPD (past)

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

• Choctaw Regional Medical Center

  • Critical Access Hospital
  • Ackerman, MS
  • NPI 1568879864
  Care Compare affiliation

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1255462230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "MARION",
            "state": "MS",
            "postal_code": "393420520",
            "telephone_number": "601-453-5393",
            "fax_number": "601-581-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 POPLAR SPRINGS DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051625",
            "telephone_number": "601-453-5376",
            "fax_number": "888-735-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GRACE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "MS11556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011284",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KCC, Inc. (Vital Care of Meridian)
• KCC, Inc. (Vital Care of Meridian/ West Alabama)
• Amelia Margaret Kelley, CNP
• Mary Edith Kellogg, FNP-C
• Ceatrice Kelly
• Kristan S Kelly, FNP-BC
• Mary Beth Kelzer, NNP
• Lauren Elizabeth Kemp, FNP
• Kemper Cah, Inc (Ochsner Health Center-Hwy 39)
• Kemper Cah, Inc (Ochsner Health Center-Immediate Care)

• Psychiatry Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.