Individual provider Active NPI

Kelly Don Whaley

  • Nurse Practitioner
  • Paris, TX
National Provider Identifier
1548749245
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP138972 Issued in TX
Practice address
5220 SE Loop 286
Paris, TX 75460
Phone
(903) 401-8349
Fax
(903) 680-8050
NPI assigned
Aug 13, 2018
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP138972 TX Primary
Family Nurse Practitioner 363LF0000X AP138972 TX

Addresses

Primary practice location

5220 SE Loop 286
Paris, TX 75460

Mailing address

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

Other practice location 1

2201 N Central Expy Ste 125
Richardson, TX 75080-2718
Phone (214) 377-1790

Other practice location 2

5220 SE Loop 286
Paris, TX 75460
Phone (903) 401-8349

Other practice location 3

1017 W Hebron Pkwy
Carrollton, TX 75010-1113
Phone (972) 939-9345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502001256 TX Practitioner - Nurse Practitioner 2365784832 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Texas Physician Resources, LLPGroup PAC ID 7012161375, 91 clinicians
Ess of Nacogdoches LLCGroup PAC ID 3375821630, 27 clinicians
Emergency Associates of Central Texas PAGroup PAC ID 6800147216, 32 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

101 Ave J
Anson, TX 79501-2113
Phone (325) 823-3231

1201 E Hwy 287
Methodist Midlothian Medical Center
Midlothian, TX 76065-4107
Phone 8174514208124

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

2201 S Clear Creek Rd
Metroplex Adv Em
Killeen, TX 76549-4110
Phone (254) 526-7523

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138972TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Current Accepting new patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 1, 2024 Accepting new patients
Primamed Physicians PLLC CurrentSince Jan 26, 2023 Accepting new patients
Small Hospital Innovations LLC CurrentSince Jan 1, 2022 Accepting new patients
Emergency Associates of Central Texas PA Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
Century Integrated Partners, Inc CurrentSince Feb 1, 2020 Accepting new patients
Summit Emergency Medicine, PLLC Current Accepting new patients
Dispatchhealth-Texas P a CurrentSince Nov 27, 2019 Accepting new patients
Citra Physician Services PLLC Current Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 1, 2024 Accepting new patients
Ess of Nacogdoches LLC CurrentSince Nov 1, 2025 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 1, 2024 Accepting new patients
Concord North Texas, PLLC CurrentSince Mar 5, 2019 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Sep 1, 2024 Accepting new patients
Citimed, P.a. Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients

Locations (25 of 37)

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

101 Avenue J
Anson, TX 79501
Phone (325) 823-3231

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

3500 Gaston Ave
Dallas, TX 75246

6176 Retail Rd
Ste 400
Dallas, TX 75231
Phone (214) 977-6798

7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

7680 Preston Rd
Frisco, TX 75034
Phone (214) 206-1447

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2550 Gray Falls Dr
Ste 150
Houston, TX 77077
Phone (713) 422-2920

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

Interoperability endpoints

  • Direct secure messaging: kelly.whaley.1@14590.direct.athenahealth.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 2

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1548749245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-401-8349",
            "fax_number": "903-680-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 N Central Expy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750802718",
            "country_code": "US",
            "telephone_number": "214-377-1790",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5220 SE Loop 286",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "75460",
            "country_code": "US",
            "telephone_number": "903-401-8349",
            "fax_number": "903-680-8050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 W Hebron Pkwy",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750101113",
            "country_code": "US",
            "telephone_number": "972-939-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "KELLY",
        "middle_name": "DON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138972",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.