John W Kelley, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

16253 Issued in GA

Practice address

191 Deep South Farm Rd
Blairsville, GA 30512-2220

Phone

(706) 439-6380

Fax

(706) 439-6398

NPI assigned

Jun 5, 2006

Last updated

Oct 20, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Medicare reassignment NPD
• Union County Hospital Authority

  dba Union General Family Medicine

  • Rural Health Clinic/Center
  • Blairsville, GA
  • NPI 1578682696
  NPD
• Union County Hospital Authority

  dba Union General ENT Solutions

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1669923744
  NPD
• Wendy L Smith M.D. PC

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1184880338
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1740229038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 DEEP SOUTH FARM RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122220",
            "telephone_number": "706-439-6380",
            "fax_number": "706-439-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 DEEP SOUTH FARM RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122220",
            "telephone_number": "706-439-6380",
            "fax_number": "706-439-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "16253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000187635IJK",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Jones, PHARM D
• Pamela Jones, RPH
• Joseph a Rutz Jr MD PC
• Thomas Kevin Karisny, M.D.
• Tina S Keaton, NP-C
• Karen Kelley, RPH
• Joshua R Kennedy, D.O.
• Myron Edward Ketter, LCSW
• Amy Kight, MS, OTR/L
• Sarah Michelle King, L.AC

• Cardiovascular Disease Physician in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.

Verify at the official NPI Registry.