Kelly Chiropractic P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6850 Issued in GA

Legal business name

KELLY CHIROPRACTIC P C

Practice address

10164 Ford Ave Ste B
Richmond Hill, GA 31324-3948

Phone

(912) 756-8080

Fax

(912) 756-8170

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia L Vasser

Title

Ca

Phone

(912) 756-8080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodrow Timothy Kelly D C Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Woodrow Timothy Kelly, DC

  • Chiropractor
  • Richmond Hill, GA
  • NPI 1265549976
  Medicare reassignment NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1992995385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10164 FORD AVE STE B",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243948",
            "telephone_number": "912-756-8080",
            "fax_number": "912-756-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10164 FORD AVE STE B",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243948",
            "telephone_number": "912-756-8080",
            "fax_number": "912-756-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "VASSER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CA",
        "authorized_official_telephone_number": "912-756-8080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP6134",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodrow Timothy Kelly D C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelia M Kardeen Williams, FNP
• Duncan Frashure Katzenberger, RBT
• Stephanie B Keen, RN
• Brianna Keith, BCBA
• Angela Kellam
• Woodrow Timothy Kelly, DC
• Avia Kemp
• Jillian Kemp
• Lillian Kendall, RBT
• Shaina Summer Kennedy, OTR/L

• Chiropractor in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.