Active NPI
Aaron Blake Kelly
- Family Nurse Practitioner
- Troy, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-124829
- Practice address
- 1330 Highway 231 S
Troy, AL 36081-3058 - Phone
- (334) 670-5000
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9427255 | FL | |
| Family Nurse Practitioner | 363LF0000X | 1-124829 | AL | Primary |
Addresses
Primary practice location
1330 Highway 231 S
Troy, AL 36081-3058
Mailing address
1330 Highway 231 S
Troy, AL 36081-3058
Other practice location 1
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111
Other practice location 2
17925 US Hwy 431 South
Headland, AL 36345
Phone (334) 423-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP9427255 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190819003431 | AL | Practitioner - Nurse Practitioner | 1153629498 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston County Healthcare Authority
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087
Hospital & facility affiliations
- Southeast Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| App of Alabama Ed PLLC | Current | Accepting new patients | |
| Keystone Medical Services of Alabama, Inc. | Current | Accepting new patients | |
| Headland Urgent Care, LLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Vale of Paradise Emergency Physicians, LLC | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
17925 US Highway 431 N
Headland, AL 36345
Phone (334) 701-1286
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600
Organizations & group practices 12
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.
-
- Clinical Medical Laboratory
- Dothan, AL
- NPI 1114161601
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Emergency Medicine Physician
- Niceville, FL
- NPI 1831522614
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1477912129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 HIGHWAY 231 S",
"city": "TROY",
"state": "AL",
"postal_code": "360813058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 HIGHWAY 231 S",
"city": "TROY",
"state": "AL",
"postal_code": "360813058",
"telephone_number": "334-670-5000"
}
],
"practiceLocations": [
{
"address_1": "1108 Ross Clark Cir",
"address_purpose": "LOCATION",
"city": "Dothan",
"state": "AL",
"postal_code": "363013022",
"country_code": "US",
"telephone_number": "334-793-8111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17925 US Hwy 431 South",
"address_purpose": "LOCATION",
"city": "Headland",
"state": "AL",
"postal_code": "36345",
"country_code": "US",
"telephone_number": "334-423-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "AARON",
"middle_name": "BLAKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9427255",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-124829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ARNP9427255",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.