Kelsey Alexander MD, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KELSEY ALEXANDER MD, LLC

Doing business as

Moon River Pediatrics

Practice address

7001 Hodgson Memorial Dr Ste 1
Savannah, GA 31406-2549

Phone

(912) 513-5787

NPI assigned

Jul 19, 2022

Last updated

Aug 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey N Alexander, MDNPI 1346561537

Title

Owner/ Director

Phone

(404) 822-0190

Specialties & licenses 1

Addresses

Other names 1

• Moon River Pediatrics Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26549/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey Nicholson Alexander, M.D.

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1346561537
  NPD Authorized official
• Samantha Ruth Bossak

  • Family Nurse Practitioner
  • Savannah, GA
  • NPI 1245985209
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1891420311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HODGSON MEMORIAL DR STE 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062549",
            "telephone_number": "912-513-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HODGSON MEMORIAL DR STE 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062549",
            "telephone_number": "912-513-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY ALEXANDER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "404-822-0190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moon River Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarkaylah Kelly
• Leland Mary Kelly
• Mary Campbell Kelly, NP-C
• Michael Taylor Kelly, DC, CCEP
• Robert Joseph Kelly Jr., MD
• Carlton R. Kemp Jr., MD
• Deborah Evelyn Kemp, APRN, BC
• Melissa Ann Kempinski
• Ken Denny PC
• Hayley Kenepp

• Pediatrics Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.