Active NPI
Sheldon Reid Kelly
- Acute Care Nurse Practitioner
- New Albany, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 905406
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Baptist Memorial Hospital-Oktibbeha County
- Baptist Memorial Hospital Union County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Associates LLC | Current | Accepting new patients | |
| Relias Hospitalist Medicine Specialists of West Point LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Segue Health of Mississippi LLC | Current | Accepting new patients | |
| RH Hospitalist Medicine of Och Regional LLC | Current | Accepting new patients | |
| Relias Hospitalist Medicine Specialists of Amory LLC | Current | Accepting new patients | |
| Relias Clinical Decision Specialists of Hattiesburg, LLC | Current | Accepting new patients | |
| RH Emergency Medicine of Och Regional LLC | Current | 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.
-
- Hospitalist Physician
- Amory, MS
- NPI 1205470796
-
- Hospitalist Physician
- West Point, MS
- NPI 1821638578
-
- Hospitalist Physician
- Starkville, MS
- NPI 1104652494
-
- Family Medicine Physician
- Flowood, MS
- NPI 1467989954
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1336867415
-
- Emergency Medicine Physician
- Starkville, MS
- NPI 1093532889
-
- Internal Medicine Physician
- Southaven, MS
- NPI 1801683008
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Starkville, MS
- NPI 1346112521
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- General Acute Care Hospital
- Amory, MS
- NPI 1164993457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.