TIMOTHY JOSEPH KELLY (NPI# 1700990488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700990488 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOSEPH KELLY |
| Credential | M.D |
| Practice Address |
101 Hospital Dr Columbus NC 28722-6418 |
| Practice Telephone | 8288943311 |
| Mailing Telephone | 8288943311 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2008-1747 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720561608 | Timothy Kelly | Social Worker | 25a Vreeland Rd, Florham Park, NJ 07932-1910 | 2018-09-07 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1003026261 | Timothy Richard Kelly | Psychiatry & Neurology | 510 Azalea Dr Ste 200, Oxford, MS 38655-6903 | 2007-05-23 |
| 1700953163 | Timothy James Kelly | Chiropractor | 1038 Washington Street, Fairfield, CA 94533-5545 | 2006-11-29 |
| 1063592558 | Timothy P Kelly | Chiropractor | 3098 Piedmont Rd Ne Ste 430, Atlanta, GA 30305-2600 | 2006-10-17 |
| 1588653281 | Timothy Lynn Kelly | Dentist | 1600 Mountain View Rd, Suite 104, Rapid City, SD 57702-4381 | 2005-10-17 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1497758825 | Timothy G Kelly | Ophthalmology | 1915 Tradd Ct, Wilmington, NC 28401-6638 | 2005-05-31 |
| 1073140497 | Timothy Stephen Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl # 1149, New York, NY 10029-6504 | 2020-03-25 |
| 1649805888 | Timothy Dwyer Kelly | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-03-09 |
| Street Address |
101 HOSPITAL DR |
| City | COLUMBUS |
| State | NC |
| Zip Code | 28722-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144568 | Madison Zimmerman | Dietitian, Registered | 101 Hospital Dr, Columbus, NC 28722-6418 | 2019-09-24 |
| 1609318583 | Loretta Gillin Pack | Registered Nurse | 101 Hospital Dr, Columbus, NC 28722-6418 | 2016-11-09 |
| 1558812594 | St. Luke's Hospital, Inc | General Acute Care Hospital | 101 Hospital Dr, Columbus, NC 28722-6418 | 2016-10-14 |
| 1730638537 | Shannon Mccool | Speech-Language Pathologist | 101 Hospital Dr, Columbus, NC 28722-6418 | 2016-09-22 |
| 1326405911 | Riverside Emergency Physicians, LLP | Emergency Medicine | 101 Hospital Dr, Columbus, NC 28722-6418 | 2016-01-27 |
| 1548652027 | Spartanburg Medical Center | Internal Medicine | 101 Hospital Dr, Columbus, NC 28722-6418 | 2015-02-20 |
| 1295132009 | St. Lukes Physician Network, Inc | Hospitalist | 101 Hospital Dr, Columbus, NC 28722-6418 | 2014-11-21 |
| 1609186808 | Jamie Renelle Cehlar | Physical Therapist | 101 Hospital Dr, Columbus, NC 28722-6418 | 2010-10-21 |
| 1215247457 | Monte Palmer | Occupational Therapist | 101 Hospital Dr, Columbus, NC 28722-6418 | 2010-10-20 |
| 1164734166 | Frank Savage | Internal Medicine | 101 Hospital Dr, Columbus, NC 28722-6418 | 2010-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329145 | Polk County Rescue Squad | Ambulance | 133 Walker St, Columbus, NC 28722 | 2019-04-10 |
| 1912406612 | Healthstat Onsite Clinic Coats Hatch | Preventive Medicine | 960 East Nc 108 Highway, Columbus, NC 28722 | 2018-02-08 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1306272521 | Healthstat On-site Clinic/milliken Hatch | Preventive Medicine | 960 E Nc 108 Hwy, Columbus, NC 28722 | 2013-09-19 |
| 1295177988 | Rebecca Ann Fox | Pharmacist | 725 Laurel Ridge Rd, Columbus, NC 28722 | 2013-07-23 |
| 1063789808 | James Rick Mccallister | Counselor | 801 W. Mills St., Polk Wellness Center, Columbus, OH 28722 | 2011-11-22 |
| 1942502661 | David Ira Hendricks | Pharmacist | 333 West Mills Street, Columbus, NC 28722 | 2010-12-01 |
| 1346476298 | Cami Lockhart Dotson | Orthotic Fitter | 133 Shuford Road, Columbus, NC 28722 | 2009-06-05 |
| 1528237740 | David C Cotty Dmd & Associates Pa | Dentist | 816 West Mills Street, Suite E, Columbus, NC 28722 | 2008-02-21 |
| 1770619439 | Advent Internal Medicine | Internal Medicine | 11 Sunshine Ln, Columbus, NC 28722 | 2007-02-26 |
| Find all providers in zip 28722 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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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.