Gail Joslin Kelley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2157 Issued in NC

Practice address

5101 Mako Dr
Wilmington, NC 28409-3203

Phone

(937) 726-6260

NPI assigned

Oct 29, 2009

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lane Optometry PLLCGroup PAC ID 7517100647, 5 clinicians

Wilmington Eye, P.a.Group PAC ID 8921034323, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.61 of 100Reported as group

Quality

91.39

Promoting interoperability

100

Improvement activities

40

Cost

73.98

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gkelley@wileye.intellechartdirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lane Optometry, PLLC

  • Optometrist
  • Jacksonville, NC
  • NPI 1356628283
  Medicare reassignment Care Compare group NPD
• Wilmington Eye, P.a.

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1831280205
  Medicare reassignment Care Compare group NPD
• Johnson Laser Eye Vision Solutions LLC

  • Ambulatory Surgical Clinic/Center
  • Wilmington, NC
  • NPI 1437907037
  NPD
• Wilmington Eye, P.a.

  • Optician
  • Wilmington, NC
  • NPI 1962566893
  NPD

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548596356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MAKO DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093203",
            "telephone_number": "937-726-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MAKO DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093203",
            "telephone_number": "937-726-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5619 Carolina Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122813",
            "country_code": "US",
            "telephone_number": "910-790-0212",
            "fax_number": "910-798-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GAIL",
        "middle_name": "JOSLIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914224",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00906668",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09300",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Keller, M.D.
• Megan Keller
• Kendra Kellermann, FNP-C
• Arian G. Kelley, D.C.
• Caroline Joanna Kelley
• Jonathan R. Kelley, D.MIN., LPC
• Margaret Anne Kelley, LCSW
• Leighanne Meredith Kellogg
• Eric Scott Kelly
• Kevin P Kelly

• Optometrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.