Active NPI
Kelly Segars, MD, PHARMD
- Diagnostic Radiology Physician
- Fort Worth, TX
National Provider Identifier
1700954567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- W6771
- Practice address
- 815 Pennsylvania Ave
Fort Worth, TX 76104-2224 - Phone
- (817) 321-0404
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | KY | ||
| Pharmacist | 183500000X | 11493 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | W6771 | TX | Primary |
Addresses
Primary practice location
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Mailing address
1320 S University Dr Ste 500
Fort Worth, TX 76107-5732
Phone (817) 321-0404
Other practice location 1
109 Bee St
Charleston, SC 29401-5703
Phone (843) 789-7339
Other practice location 2
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other practice location 3
530 S Jackson St # C07
Louisville, KY 40202-1675
Phone (502) 852-9845
Other names 1
- Dr. Kelly Segars Still
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1700954567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S UNIVERSITY DR STE 500",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075732",
"telephone_number": "817-321-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042224",
"telephone_number": "817-321-0404"
}
],
"practiceLocations": [
{
"address_1": "109 Bee St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294015703",
"country_code": "US",
"telephone_number": "843-789-7339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 S Jackson St # C07",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021675",
"country_code": "US",
"telephone_number": "502-852-9845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGARS",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "MD, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11493",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "W6771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "STILL",
"middle_name": "SEGARS",
"prefix": "DR.",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.