Jerald Donald Kelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8145 Issued in TX

Practice address

2 Doctor Cir
Longview, TX 75605-5050

Phone

(903) 753-2322

Fax

(903) 234-2979

NPI assigned

Jun 27, 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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Longview Integrated Medicine PLLC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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.

• Longview Integrated Medicine PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Longview, TX
  • NPI 1801302203

  TX

  Medicare reassignment Care Compare group NPD
• DKR Healthcare Group, Inc.

  • Chiropractor
  • Dallas, TX
  • NPI 1649688185
  NPD (past) Authorized official
• American Chiropractic Clinic

  • Chiropractor
  • Mesquite, TX
  • NPI 1326115643
  NPD (past)
• American Integrated Healthcare PLLC

  • Physical Medicine & Rehabilitation Physician
  • Mesquite, TX
  • NPI 1538653480

  Chiropractor

  NPD (past)
• Emf DC PC

  • Pediatric Chiropractor
  • Celina, TX
  • NPI 1356679484
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1528095460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DOCTOR CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055050",
            "telephone_number": "903-753-2322",
            "fax_number": "903-234-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DOCTOR CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055050",
            "telephone_number": "903-753-2322",
            "fax_number": "903-234-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JERALD",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samwel Kebaya
• Leslie A Keehne, D.C.
• Janet L. Kelley, MD
• Suzanne Kelley, LCDC
• Gene Kelly, MD
• Kathy Ann Kelly, LMFT
• Jeffrey Russell Kemp, M.D.
• Lauren Eliazbeth Kemp, RN
• Ken Newton Chiropractic Clinic, LLC
• Travis L. Kendall, DDS

• All providers in Longview, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.