1. Home
  2. Directory
  3. Mississippi
  4. Oxford
  5. Psychiatry Neurology
  6. NPI Profile

TIMOTHY RICHARD KELLY MD
NPI 1003026261
Psychiatry & Neurology - Psychiatry in Oxford, MS

Active since May 23, 2007Opted out of Medicare · through Oct 1, 2026
510 AZALEA DR STE 200, OXFORD, MS 38655(662) 236-6696 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Richard Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY RICHARD KELLY MD (NPI 1003026261) is an individual psychiatry provider in Oxford, Mississippi, licensed in Mississippi (17172) and active in the NPI registry since May 2007. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1003026261
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTIMOTHY RICHARD KELLYCredential: MD
Location Address510 AZALEA DR STE 200Oxford, MS 38655-6903
Mailing Address438 County Road 471Water Valley, MS 38965-3778 · (662) 281-0945
Phone(662) 236-6696
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003026261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MS · 17172
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
510 AZALEA DR STE 200, Oxford, MS 38655
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Timothy Richard Kelly Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1003026261. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Timothy Kelly located?

Timothy Kelly practices at 510 Azalea Dr Ste 200, Oxford, MS 38655. The listed phone number is (662) 236-6696.

What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Timothy Kelly enrolled in Medicare?

No. Timothy Kelly has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.