DR. RICHARD JEAN KELLY (NPI# 1508820424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508820424 |
| Entity Type | Individual |
| Full Name | DR. RICHARD JEAN KELLY |
| Credential | M.D. |
| Practice Address |
840 Stevens Creek Rd Augusta GA 30907-9251 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 7067226957 |
| Practice Fax Number | 7067227454 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
031045 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
031045 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
031045 | GA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
031045 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
031045 | GA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
031045 | GA | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
031045 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00368618B | 05 | |
| GA | 00368618G | 05 | |
| GA | 00368618J | 05 | |
| NPI - BROWN & RADIOLOGY | 1265540314 | 01 | |
| GA | 00368618H | 05 | |
| SC | 102613 | 05 | |
| GA | 00368618F | 05 | |
| GA | 00368618C | 05 | |
| GA | 00368618E | 05 | |
| GA | 00368618I | 05 | |
| AMERIGROUP | 10058872 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283608 | Richard Kelly | Home Health Aide | 9115 Ridge Blvd Apt 4b, Brooklyn, NY 11209-5724 | 2017-09-08 |
| 1295882801 | Richard Edward Kelly | Counselor | 2045 Potts Point Rd, Huntingtown, MD 20639-8202 | 2007-01-04 |
| 1235201104 | Richard J Kelly | Social Worker | 1311union Street Union Counseling Services, Schenectady, NY 12308 | 2006-11-15 |
| 1467537316 | Richard K Kelly | Chiropractor | 39 Sawasett Avenue, Bridgehampton, NY 11932 | 2006-10-26 |
| 1447264643 | Richard Allen Kelly | Family Medicine | 210 Goodman Rd E, Southaven, MS 38671-9520 | 2006-07-27 |
| 1275199069 | Richard Tyler Kelly | Counselor | 2623 5th St N, Columbus, MS 39705-2009 | 2019-05-16 |
| 1902350978 | Richard A Kelly | Counselor | 477 E Butterfield Rd, Lombard, IL 60148-5618 | 2016-08-08 |
| 1801960026 | Richard R Kelly | Occupational Therapist | 966 N Garden Ridge, Suite 530, Lewisville, TX 75077 | 2006-11-20 |
| 1831118264 | Richard P Kelly | Family Medicine | 80 Templeton Dr, Oswego, IL 60543-7000 | 2006-07-18 |
| 1023036431 | Richard Amadeus Kelly | Chiropractor | 730 Parkwood Dr, Cranberry Twp, PA 16066-6312 | 2006-07-17 |
| Street Address |
840 STEVENS CREEK RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265414528 | Andrew Christopher Forgay | Specialist | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2005-11-14 |
| 1689288599 | Sara Chandler Crosby | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2020-09-08 |
| 1215491428 | Rebecca Mims | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2019-01-22 |
| 1912472481 | Chelsea Manning | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2018-10-10 |
| 1194265546 | Chasity Smith | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2017-03-05 |
| 1235677113 | Lindsey Mears | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2017-02-10 |
| 1275081218 | Jamie Lee Mitchell | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-09-20 |
| 1427505940 | Kit Taylor | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-09-01 |
| 1811441660 | Erin Norris Key | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-08-10 |
| 1407224819 | Melissa Chapel | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801278031 | Islam Ahmed Shehata Elhelf | Radiology | 1120 15th St, Augusta, GA 30912-1009 | 2015-06-24 |
| 1083610448 | Subhash S Pujara | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780015610 | Robert G. Wallace | Radiology | 1130 Goat Rock Road, Fortson, GA 31808 | 2013-12-03 |
| 1104936467 | Robert J. Kaminski | Radiology | 4138 Shady Oaks Dr, Martinez, GA 30907-7917 | 2006-08-30 |
| 1003840026 | Fabio P Esteves | Radiology | 1364 Clifton Rd Ne Radiology, Atlanta, GA 30322-0001 | 2006-07-10 |
| 1477816551 | Harry William Schroeder IIi | Radiology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2012-06-22 |
| 1326206525 | George James Burke | Radiology | 1 Belton Ln, Savannah, GA 31411-1632 | 2008-05-26 |
| 1568529469 | G Paul Forsyth Md PC | Radiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2007-01-02 |
| 1013015544 | Steven W Pruett | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2006-09-20 |
| 1013923820 | Rome Imaging Associates | Radiology | 255 W 5th St Sw, Suite 150, Rome, GA 30165-2817 | 2006-08-01 |
| 1740201318 | Andrew Taylor | Radiology | 1364 Clifton Rd Ne, Radiology, Atlanta, GA 30322-1059 | 2006-07-21 |
| 1447270111 | Cary Carter Newman | Radiology | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
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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.