Active NPI
Amy S Kelley, MD
- Pediatrics Physician
- Gadsden, AL
National Provider Identifier
1265257463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24279
- Practice address
- 45 Indian Pine Trce E
Gadsden, AL 35901-7245 - Phone
- (256) 390-0582
- NPI assigned
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24279 | AL | Primary |
Addresses
Primary practice location
45 Indian Pine Trce E
Gadsden, AL 35901-7245
Mailing address
45 Indian Pine Trce E
Gadsden, AL 35901-7245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24279 | AL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1265257463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 INDIAN PINE TRCE E",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359017245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 INDIAN PINE TRCE E",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359017245",
"telephone_number": "256-390-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "AMY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AL",
"license": "24279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.