Individual provider Active NPI

Gregory Russell Kelley, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Brunswick, GA
National Provider Identifier
1891180113
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
89690 Issued in GA
Practice address
3025 Shrine Rd Ste 390
Brunswick, GA 31520-4786
Phone
(912) 466-7380
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 89690 GA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 89690 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 390
Brunswick, GA 31520-4786

Mailing address

3025 Shrine Rd Ste 390
Brunswick, GA 31520-4786
Phone (912) 466-7380

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211018000878 GA Practitioner - Physical Medicine and Rehabilitation 1355671157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 390
Brunswick, GA 31520-4786
Phone (912) 466-7340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Nov 1, 2021 Accepting new patients
PSJC Associates PastSince Jul 31, 2022 Accepting new patients

Locations

3025 Shrine Rd
Ste 390
Brunswick, GA 31520
Phone (912) 466-7340

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2611 Wildwood Dr
Brunswick, GA 31520
Phone (912) 265-8527

2060 Dan Proctor Dr
Ste 1400
Saint Marys, GA 31558
Phone (912) 576-6355

7000 Wellness Way
Ste 7110
Saint Simons Island, GA 31522

Interoperability endpoints

  • Direct secure messaging: gkelley@secure.sghsmessaging.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1891180113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 390",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204786",
            "telephone_number": "912-466-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 390",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204786",
            "telephone_number": "912-466-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GREGORY",
        "middle_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "89690",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "89690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.