Cynthia Elaine Kelley, APN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12674 Issued in TN

Practice address

304 W Church St
Lewisburg, TN 37091-2730

Phone

(931) 359-3551

Fax

(931) 359-3578

NPI assigned

Aug 29, 2007

Sex

Female

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 TN

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mezuzah Investment Group LLCGroup PAC ID 6103269642, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NHC Homecare of Columbia Home health agency, Columbia, TN, CCN 447125
• Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309
• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3755/brand/2/csg/1/fhir/r4

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.

• Mezuzah Investment Group LLC

  dba Phelps Hometown Family Medical

  • Family Medicine Physician
  • Lewisburg, TN
  • NPI 1649043670
  Medicare reassignment Care Compare group NPD
• Charles R Tessier DO PC

  dba Hometown Family Medical, LLC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1558786665
  Medicare reassignment NPD

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

• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Maury Regional Hospital Marshall Medical Center

  dba Marshall Medical Center

  • Critical Access Hospital
  • Lewisburg, TN
  • NPI 1578591756
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Dickson, TN
  • NPI 1164448437
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Lewisburg, TN
  • NPI 1205852589
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Columbia, TN
  • NPI 1669498937
  Care Compare affiliation
• NHC-Op LP

  dba NHC HomeCare, Pulaski

  • Home Health Agency
  • Pulaski, TN
  • NPI 1730105016
  Care Compare affiliation
• NHC-Op LP

  dba NHC HomeCare-Lawrenceburg

  • Home Health Agency
  • Lawrenceburg, TN
  • NPI 1962428243
  Care Compare affiliation

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1255525630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W CHURCH ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912730",
            "telephone_number": "931-224-1349",
            "fax_number": "931-359-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W CHURCH ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912730",
            "telephone_number": "931-359-3551",
            "fax_number": "931-359-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CYNTHIA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Ryesha Johnson, N.A
• Joseph Michael Johnson, PHARM.D.
• Linda Johnson
• Jeffrey Lawrence Jordan, O.D.
• Sara Jessica Jowers-Rea, B.S.
• Kenneth J Phelps MD (Kenneth Phelps MD & Associates)
• Michael E. Keny, D.PH
• Wendy Denise Kerr, DOULA
• Deborah Kimbrough, RN
• Amber King

• Family Nurse Practitioner in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.