Kelly Seid, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

08424 Issued in MS

Practice address

5000 W 4TH St
Hattiesburg, MS 39402-1000

Phone

(601) 450-0521

Fax

(601) 450-0554

NPI assigned

Jun 30, 2006

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 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Mississippi School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Band of Choctaw IndiansGroup PAC ID 4385546662, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choctaw Health Center Hospital, Philadelphia, MS, CCN 250127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Mississippi Band of Choctaw Indians

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment Care Compare group NPD
• Mississippi Band of Choctaw Indians

  • Federal Public Health Clinic/Center
  • Choctaw, MS
  • NPI 1255533758
  NPD
• Mississippi Band of Choctaw Indians

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD
• PHC-Cleveland LLC

  • Anesthesiology Physician
  • Cleveland, MS
  • NPI 1528158532

  Diagnostic Radiology

  NPD (past)
• South Mississippi Associate in Radiation Therapy, PLLC

  • Radiation Oncology Clinic/Center
  • Hattiesburg, MS
  • NPI 1114121373
  NPD (past)
• Pineville Community Hospital Association, Inc.

  • Skilled Nursing Facility
  • Pineville, KY
  • NPI 1447272216
  NPD (past)
• Pineville Community Hospital Association, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Pineville, KY
  • NPI 1861843401
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1760410245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021000",
            "telephone_number": "601-450-0521",
            "fax_number": "601-450-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021000",
            "telephone_number": "601-450-0521",
            "fax_number": "601-450-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEID",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "08424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64230790",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120373",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000588390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katryn Scully
• Ikkia Seard
• Bradley N Secrest, MD
• Katelyn D. Seeley, DPT
• Edwin G. Seelye Sr., DO
• Rebecca Seifert, LCSW
• Selection Healthcare Services, LLC
• Selera Counseling Services, PLLC
• Amanda Dawn Sellers, D.O.
• Kayla Sellers

• Diagnostic Radiology Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.