TIMOTHY KELLEY (NPI# 1134681059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134681059 |
| Entity Type | Individual |
| Full Name | TIMOTHY KELLEY |
| Practice Address |
1903 Turner Mccall Blvd Se Rome GA 30161-3366 |
| Practice Telephone | 7062377223 |
| Practice Fax Number | 7062377279 |
| Mailing Telephone | 7062377223 |
| Mailing Fax Number | 7062377279 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA IDENTIFICATION CARD | 054860421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| 1356443972 | Timothy Michael Kelley Jr. | Chiropractor | 94 State St, Heuvelton, NY 13654 | 2006-09-03 |
| 1790148245 | Timothy Kelley | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-04-01 |
| 1679654057 | Timothy P Kelley | Physician Assistant | 202 Williamson Rd Ste 100, Mooresville, NC 28117-7610 | 2006-10-18 |
| 1871528802 | Timothy Kelley | Otolaryngology | 520 Superior Ave, Ste 270, Newport Beach, CA 92663-3637 | 2006-07-11 |
| 1295788420 | Timothy S. Kelley | Social Worker | 7305 N Military Trl, Va Medical Center, Riviera Beach, FL 33410-7417 | 2006-05-18 |
| 1376501395 | Timothy Kelley | Nurse Anesthetist, Certified Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2006-05-01 |
| Street Address |
1903 TURNER MCCALL BLVD SE |
| City | ROME |
| State | GA |
| Zip Code | 30161-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417419904 | Kellco Medical Equipment | Durable Medical Equipment & Medical Supplies | 1903 Turner Mccall Blvd Se, Rome, GA 30161-3366 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861846610 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1838 Redmond Cir Nw, Ste A, Rome, GA 30165-1379 | 2016-04-19 |
| 1700273596 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 101 Redmond Rd, Rome, GA 30165-1535 | 2015-04-20 |
| 1124462528 | Diprima Medical,inc. | Durable Medical Equipment & Medical Supplies | 931 N 2nd Ave, Rome, GA 30165-2501 | 2013-04-29 |
| 1083962799 | Reyland Medical, LLC | Durable Medical Equipment & Medical Supplies | 212a W 10th St Nw, Rome, GA 30165-2514 | 2012-08-28 |
| 1689980757 | Assurance Home Healthcare | Durable Medical Equipment & Medical Supplies | 510 W 12th St Ne, Rome, GA 30165-2617 | 2010-08-26 |
| 1508004169 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1905 Martha Berry Blvd., Rome, GA 30165-1649 | 2009-02-04 |
| 1700057122 | Access Homecare Services, Inc. | Durable Medical Equipment & Medical Supplies | 14 John Davenport Dr Nw, Suite 200, Rome, GA 30165-2599 | 2008-03-13 |
| 1194904540 | Pansy's Post Mastectomy Boutique, Inc. | Durable Medical Equipment & Medical Supplies | 100 Redmond Rd Nw, Rome, GA 30165-1536 | 2007-11-01 |
| 1750408944 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 1136 Erie Blvd W, Rome, NY 13440-2948 | 2007-03-23 |
| 1538298609 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 170 Shorter Ave, Nw, Rome, GA 30165 | 2007-03-05 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.