NPIMap

Individual provider Active NPI

Jeffery Scott Kelley, MD

  • Internal Medicine Physician
  • Jay, FL
National Provider Identifier
1659334126
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81689 Issued in FL
Practice address
14088 Alabama Street
Jay, FL 32565-1036
Phone
(850) 675-4546
Fax
(850) 675-4548
NPI assigned
Apr 7, 2006
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME81689 FL Primary

Addresses

Primary practice location

14088 Alabama Street
Jay, FL 32565-1036

Mailing address

PO Box 10
14088 Alabama Street
Jay, FL 32565-1036
Phone (850) 675-4546

Other identifiers 28

IdentifierTypeStateIssuer
2239990OtherAARP HEALTHCARE UNITED
2239990OtherFLUNITED HEALTHCARE OF FLORIDA
7032394OtherATENA GLOBAL BENEFITS
2239990OtherUNITED HEALTHCARE
4071564OtherCIGNA HEALTHCARE CO
05101OtherFLPREFERRED PATIENT CARE
21333OtherFLBLUE MEDICARE ADVANTAGE
7032394OtherAETNA
7032394OtherAETNA US HEALTHCARE
05101OtherFLHEALTH 1ST NETWORK, INC.
4071564OtherCIGNA HEALTHCARE PPO
009952450OtherALALACIAD
1659334126OtherFLPYRAMID
59063941OtherALBCBS OF AL
261059100MedicaidFL
7032394OtherAETNA CONTAINER
7032394OtherAETNA LIFE INS CO
7032394OtherAETNA NABISCO
4071564OtherCIGNA
541009001OtherALACAID
7032394OtherAETNA LIFE & CASUALTY
A611OtherFLWELLCARE
P00017883OtherFLRAILROAD MEDICARE
05101OtherBLUE CROSS BLUE SHIELD
071981OtherFLVISTA
593216460OtherBEECH STREET
593216460A06OtherFLMEDICAL MUTUAL
P00035820OtherFLRAILRAOD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000580 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - General Surgery 6709804248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panhandle Rural Health IncorporatedGroup PAC ID 1557358801, 5 clinicians

Practice addresses (Care Compare)

14088 Alabama St
Jay, FL 32565-1036
Phone (850) 675-4546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
J S Michael Smith MD PA Current Accepting new patients

Locations

14088 Alabama St
Jay, FL 32565
Phone (850) 675-4546

Interoperability endpoints

  • Direct secure messaging: jeff.kelley@jaymedical.directbygreenway.com

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1659334126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "address_2": "14088 ALABAMA STREET",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651036",
            "telephone_number": "850-675-4546",
            "fax_number": "850-675-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14088 ALABAMA STREET",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651036",
            "telephone_number": "850-675-4546",
            "fax_number": "850-675-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JEFFERY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP HEALTHCARE UNITED",
            "identifier": "2239990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF FLORIDA",
            "identifier": "2239990",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA GLOBAL BENEFITS",
            "identifier": "7032394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2239990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE CO",
            "identifier": "4071564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PATIENT CARE",
            "identifier": "05101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE MEDICARE ADVANTAGE",
            "identifier": "21333",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7032394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7032394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH 1ST NETWORK, INC.",
            "identifier": "05101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE PPO",
            "identifier": "4071564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACIAD",
            "identifier": "009952450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PYRAMID",
            "identifier": "1659334126",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "59063941",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261059100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CONTAINER",
            "identifier": "7032394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INS CO",
            "identifier": "7032394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NABISCO",
            "identifier": "7032394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4071564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "541009001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE & CASUALTY",
            "identifier": "7032394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "A611",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00017883",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "071981",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "593216460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "593216460A06",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P00035820",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, FL

Sources for this page

Verify at the official NPI Registry.