JEFFERY S KELLEY MD (NPI# 1689933467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689933467 |
Entity Type | Organization |
Organization Name | JEFFERY S KELLEY MD |
Practice Address |
14088 Alabama St Jay FL 32565-1036 |
Mailing Address |
Po Box 10 Jay FL 32565-0010 |
Practice Telephone | 8506754546 |
Practice Fax Number | 8506754548 |
Mailing Telephone | 8506754546 |
Mailing Fax Number | 8506754548 |
Enumeration Date | 2012-05-14 |
Last Update Date | 2012-05-14 |
Authorized Official Name | JEFFERY SCOTT KELLEY (OWNER/PRESIDENT) |
Authorized Official Telephone | 8506754546 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | ME81689 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 261059100 | 05 | |
CHAMPVA | 591032244 | 01 | |
AL | ALACAID | 009952450 | 01 |
BLUE CROSS AND BLUE SHIELD OF FLORIDA | 05101 | 01 | |
UNITED HEALTHCARE | 2239990 | 01 | |
RAILROAD MEDICARE | P00017883 | 01 | |
BLUE CROSS AND BLUE SHIELD OF ALABAMA | 59037346 | 01 | |
COVENTRY | 1203400 | 01 | |
CIGNA | 4071564 | 01 | |
TRICARE | 591032244 | 01 | |
AETNA | 7032394 | 01 | |
WELLCARE | A611 | 01 |
Street Address |
14088 ALABAMA ST |
City | JAY |
State | FL |
Zip Code | 32565-1036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497710313 | John-stewart Michael Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2006-04-20 |
1700403854 | Equity Rx, Pllc | Pharmacy | 14088 Alabama St, Jay, FL 32565-1036 | 2020-07-05 |
1497014161 | J S Michael Smith Md Pa | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2012-05-15 |
1710246483 | Jay Pediatrics Pa | Pediatrics | 14088 Alabama St, Jay, FL 32565-1036 | 2012-05-15 |
1003090556 | Gregory D. Heaton O.d.,p.a. | Optometrist | 14088 Alabama St, Jay, FL 32565-1036 | 2007-12-19 |
1467597799 | Jay Pharmacy of Jay Florida Inc | Pharmacy | 14088 Alabama St, Jay, FL 32565-1036 | 2007-02-21 |
1679509079 | Twyla Cotton | Nurse Practitioner | 14088 Alabama St, Jay, FL 32565-1036 | 2006-06-25 |
1588605059 | Gregory D Heaton | Optometrist | 14088 Alabama St, Jay, FL 32565 | 2006-06-08 |
1871546515 | Cleatious David Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565 | 2006-05-17 |
1255398228 | Panhandle Rural Health Incorporated | Clinic/Center | 14088 Alabama St, Jay, FL 32565-1036 | 2006-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336418946 | The Terrace At Ivey Acres of Jay | Assisted Living Facility | 3964 Florida Ave, Jay, FL 32565 | 2011-12-28 |
1982908497 | Dura-med Southeast Inc. | Durable Medical Equipment & Medical Supplies | 3877 Hwy 4, Jay, FL 32565 | 2010-12-28 |
1750416202 | Jay Pharmacy of Jay,fla Inc | Pharmacy | 14088 Ala St, Jay, FL 32565 | 2007-02-23 |
1356325963 | Edward Brian Jorgensen | Neuromusculoskeletal Medicine & OMM | 14114 Alabama St, Jay Hospital, Jay, FL 32565 | 2005-12-06 |
1114443520 | Alex Jones | Physical Therapist | 14114 Alabama St, Jay, FL 32565 | 2017-08-17 |
1407818313 | Marian Barraud Stewart | Pediatrics | 14088 Alabama Street, Jay, FL 32565-1036 | 2006-04-05 |
1659334126 | Jeffery Scott Kelley | Internal Medicine | 14088 Alabama Street, Jay, FL 32565-1036 | 2006-04-07 |
1548861602 | Action Therapy Group LLC | Physical Therapist | The Terrace of Ivy Acres, 3964 Florida Ave, Jay, FL 32565-1104 | 2020-11-05 |
1861501819 | Dura-med Southeast Inc | Durable Medical Equipment & Medical Supplies | 5272 Commerce St, Jay, FL 32565-1178 | 2006-08-30 |
1730128869 | Jimmie Dwight Lassiter Jr. | Dentist | 5285 Commerce St, Jay, FL 32565-1179 | 2006-06-05 |
Find all providers in zip 32565 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104807387 | Valerie Lee Farris | Internal Medicine | 1569 N Main St, Jay, OK 74346-2903 | 2005-11-07 |
1659334126 | Jeffery Scott Kelley | Internal Medicine | 14088 Alabama Street, Jay, FL 32565-1036 | 2006-04-07 |
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1497355887 | Orange Care Physician Partners of Florida, LLC | Internal Medicine | 14750 Nw 77th Ct Ste 308, Miami Lakes, FL 33016-1537 | 2020-10-27 |
1811596562 | Shari Rosenbaum Md Pllc | Internal Medicine | 1905 Clint Moore Rd Ste 204, Boca Raton, FL 33496-2660 | 2020-10-23 |
1801495585 | United Teledoc Inc | Internal Medicine | 231 Del Prado Blvd S, Cape Coral, FL 33990-5707 | 2020-10-22 |
1467051896 | Jermaine Campbell Do, LLC | Internal Medicine | 2701 N Course Dr Apt 125, Pompano Beach, FL 33069-3030 | 2020-10-16 |
1245838150 | Neighbormd of Tamarac LLC | Internal Medicine | 7646 N Nob Hill Rd, Tamarac, FL 33321-1869 | 2020-10-13 |
1841898756 | Neighbormd of Miami Beach LLC | Internal Medicine | 4302 Alton Rd Ste 320, Miami Beach, FL 33140-2818 | 2020-10-13 |
1437757358 | Neighbormd of Palm Beach Gardens | Internal Medicine | 3345 Burns Rd Ste 204&205, Palm Beach Gardens, FL 33410-4324 | 2020-10-13 |
1306444211 | Neighbormd of Aventura LLC | Internal Medicine | 2845 Aventura Blvd Ste 240, Aventura, FL 33180-3120 | 2020-10-13 |
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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.