Kelly Health & Wellness Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KELLY HEALTH & WELLNESS CLINIC LLC

Practice address

102 E Claiborne Ave Ste D
Greenwood, MS 38930-3518

Phone

(662) 219-3513

Fax

(662) 219-3514

NPI assigned

Jul 2, 2025

Last updated

Jul 22, 2025By 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

Joby G Kelly, CFNPNPI 1629752605

Title

Owner/Provider

Phone

(662) 219-3513

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Joby Garrard Kelly, CFNP

  • Family Nurse Practitioner
  • Grenada, MS
  • NPI 1629752605
  Medicare reassignment NPD Authorized official
• Elizabeth Brown Kelly, CFNP

  • Family Nurse Practitioner
  • Winona, MS
  • NPI 1144840489
  NPD (past)

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1982593935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E CLAIBORNE AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303518",
            "telephone_number": "662-219-3513",
            "fax_number": "662-219-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E CLAIBORNE AVE STE D",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303518",
            "telephone_number": "662-219-3513",
            "fax_number": "662-219-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY HEALTH & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOBY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "662-219-3513",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Jones
• William Bretlee Jones, MD
• Journey Hospice and Pallative Care
• Vignesh Kannan, M.D.
• Jalisha Shauntay Kee
• Karlee Kelly, FNP
• Shanekia Kemp, CMHT
• Vera Kemp
• Kenneth Hines MD PA
• David Erby Kent, LPC

• Family Nurse Practitioner in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.