Individual provider Active NPI

Sheldon Reid Kelly

  • Acute Care Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1972237022
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
905406 Issued in MS
Practice address
200 Hwy 30 W
New Albany, MS 38652-3112
Phone
(662) 538-7631
NPI assigned
Jul 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 905406 MS Primary

Addresses

Primary practice location

200 Hwy 30 W
New Albany, MS 38652-3112

Mailing address

69 Oakley Rd
Thaxton, MS 38871-9703
Phone (901) 522-6745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130002518 MS Practitioner - Nurse Practitioner 1052782018 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Relias Hospitalist Medicine Specialists of Amory LLCGroup PAC ID 0143656165, 15 clinicians
Relias Hospitalist Medicine Specialists of West Point LLCGroup PAC ID 4688002322, 15 clinicians
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians
Segue Health of Mississippi LLCGroup PAC ID 2769757897, 23 clinicians
RH Hospitalist Medicine of Och Regional LLCGroup PAC ID 8325573074, 9 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300

200 State Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-7631

232 Market St
Flowood, MS 39232-3339
Phone 8885512538101

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 432-4106

Hospital & facility affiliations

  • North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC CurrentSince Mar 1, 2023 Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Jan 16, 2024 Accepting new patients
Signify Health, LLC CurrentSince Dec 22, 2022 Accepting new patients
Segue Health of Mississippi LLC CurrentSince Sep 1, 2025 Accepting new patients
RH Hospitalist Medicine of Och Regional LLC CurrentSince Nov 1, 2024 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Jun 14, 2023 Accepting new patients
Relias Clinical Decision Specialists of Hattiesburg, LLC CurrentSince Aug 1, 2024 Accepting new patients
RH Emergency Medicine of Och Regional LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

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 3

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1972237022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 OAKLEY RD",
            "city": "THAXTON",
            "state": "MS",
            "postal_code": "388719703",
            "telephone_number": "901-522-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HWY 30 W",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523112",
            "telephone_number": "662-538-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHELDON",
        "middle_name": "REID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "905406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.