JEFFREY GLEN KELLEY (NPI# 1821390436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821390436 |
| Entity Type | Individual |
| Full Name | JEFFREY GLEN KELLEY |
| Credential | PA-C |
| Practice Address |
1840 Medical Center Pkwy Suite 200 Murfreesboro TN 37129-3199 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 6152171560 |
| Practice Fax Number | 6158907838 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1896 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN | 6026014 | 01 |
| TN | Q018735 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1629213905 | Jeffrey Don Kelley | Dentist | 4501 Old Spartanburg Rd Ste 4, Taylors, SC 29687-4105 | 2008-12-15 |
| 1932298387 | Jeffrey Robert Kelley | Family Medicine | 12522 Greenspoint Dr, Houston, TX 77060-1308 | 2006-10-12 |
| 1447353032 | Jeffrey Adam Kelley Sr. | Dentist | 2924 W 6th St, Fort Worth, TX 76107-2213 | 2006-09-07 |
| 1386281566 | Jeffrey Kelley | Massage Therapist | 185 W 4th Ave, Post Falls, ID 83854-4978 | 2019-12-05 |
| 1730244732 | Jeffrey Olin Kelley | Dentist | 25 N State St, Zeeland, MI 49464-1210 | 2006-12-27 |
| Street Address |
1840 MEDICAL CENTER PKWY SUITE 200 |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457317257 | Guy Britton Mioton | Internal Medicine | 1840 Medical Center Pkwy, Suite 201, Murfreesboro, TN 37129-3199 | 2006-04-21 |
| 1669905287 | Brett Bailey | Emergency Medicine | 1840 Medical Center Pkwy, Suite 403, Murfreesboro, TN 37129-3199 | 2017-04-10 |
| 1205371762 | Wcj Medical Pllc | Internal Medicine | 1840 Medical Center Pkwy, Ste. 404, Murfreesboro, TN 37129-3199 | 2016-12-19 |
| 1326590506 | Nikki Phanyoraj | Nurse Practitioner | 1840 Medical Center Pkwy, Suite 201, Murfreesboro, TN 37129-3199 | 2016-11-03 |
| 1861883639 | Tiffani Ann Watson | Registered Nurse | 1840 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-3199 | 2015-02-14 |
| 1700172558 | Tiffany Locke | Nurse Practitioner | 1840 Medical Center Pkwy, Ste 300, Murfreesboro, TN 37129-2564 | 2011-06-21 |
| 1295052934 | Kelly Davis | Internal Medicine | 1840 Medical Center Pkwy, Murfreesboro, TN 37129-3199 | 2010-04-20 |
| 1679703227 | Amelia Paige Bowen | Nurse Practitioner | 1840 Medical Center Pkwy, Ste. 201, Murfreesboro, TN 37129-3199 | 2009-07-16 |
| 1780819375 | Christopher Anthony Waynick | Internal Medicine | 1840 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-3199 | 2009-05-26 |
| 1811158942 | Jeremy Scott Mcduffie | Specialist | 1840 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-3199 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668433 | Cale D Baskin | Physician Assistant | 3726 Manson Pike Apt 236, Murfreesboro, TN 37129-2929 | 2019-06-17 |
| 1215418397 | Kelly Rice | Physician Assistant | 3053 Medical Center Pkwy Ste F, Murfreesboro, TN 37129-4186 | 2018-08-27 |
| 1891289369 | Danielle Ruppenthal | Physician Assistant | 1725 Medical Center Pkwy # 300, Murfreesboro, TN 37129-2247 | 2018-06-19 |
| 1154838514 | Madison Delk | Physician Assistant | 710 Memorial Blvd Ste 110, Murfreesboro, TN 37129-2703 | 2018-01-08 |
| 1780114793 | Gianna Michelle Scaglione | Physician Assistant | 1547 Warrior Dr Ste A, Murfreesboro, TN 37128-0922 | 2017-06-13 |
| 1356894554 | Kasey Hollandsworth | Physician Assistant | 1725 Medical Center Pkwy Ste 2, Murfreesboro, TN 37129-2247 | 2016-07-25 |
| 1174849889 | Shannon Marie Foster | Physician Assistant | 1020 N Highland Ave Ste C, Murfreesboro, TN 37130-2494 | 2010-04-20 |
| 1770811424 | Elizabeth Ann Bakos | Physician Assistant | 1800 Medical Center Pkwy Ste 200, Murfreesboro, TN 37129-2566 | 2009-11-18 |
| 1942478433 | Rachel Creath Newman Smith | Physician Assistant | 1525 S. Church St., Murfreesboro, TN 37130 | 2008-02-18 |
| 1700097532 | Debra Foster | Physician Assistant | 1034 N Highland Ave Ste C, Murfreesboro, TN 37130 | 2007-05-24 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.