Allan Jeffrey Kelley, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

22464 Issued in AL

Practice address

2664 Hartford Hwy
Dothan, AL 36305-4904

Phone

(334) 699-2244

Fax

(334) 699-2245

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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 AL

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

Ophthalmology

Education

University of South Alabama College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Surgical Associates P CGroup PAC ID 5597814525, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Andalusia Health Hospital, Andalusia, AL, CCN 010036

Merit-based Incentive Payment System (MIPS)

Final score

84.92 of 100Reported as group

Quality

100

Improvement activities

40

Cost

49.74

Procedures performed for Medicare patients

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.

• Eye Surgical Associates P C

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1669648879
  Medicare reassignment Care Compare group NPD
• Kenny R Blackston OD PC

  • Optometrist
  • Andalusia, AL
  • NPI 1710028618
  NPD (past)
• Vision Professionals

  • Optometrist
  • Dothan, AL
  • NPI 1700819240

  Ophthalmology

  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1487695458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 HARTFORD HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054904",
            "telephone_number": "334-699-2244",
            "fax_number": "334-699-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 HARTFORD HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054904",
            "telephone_number": "334-699-2244",
            "fax_number": "334-699-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ALLAN",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "22464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "51102282",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Marie Kearns, LPC
• Susan Darby Keith
• Kelcey L Williams MD PLLC
• Kelcey L. Williams, MD, PLLC
• Mitzi Deanna Kellett, RBT
• Lela Smith Kelley, PHARMD
• Mariah A. Kellogg, PT, DPT
• Carrie Hanna Kelly, R.N.
• Jane C Kelly, CRNA
• Lindsay Kelly, PHARMD

• Ophthalmology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.