SHENIKA SHAREE KELLY
NPI 1013282961
Dentist - General Practice in Jackson, MS

Q: What is Shenika Kelly's NPI number?

The NPI number for Shenika Kelly is 1013282961. It was assigned to this individual provider in the NPPES registry on March 11, 2012.

Q: What is Shenika Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shenika Kelly was last updated on June 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 11, 2012PECOS Enrolled

514 E WOODROW WILSON AVE STE G, JACKSON, MS 39216(769) 572-4425(844) 270-0967 Get Directions Write a Review

NPPES record last updated: June 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shenika Sharee Kelly NPPES

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

SHENIKA SHAREE KELLY (NPI 1013282961) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (MS3644-12) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013282961

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSHENIKA SHAREE KELLY

Location Address514 E WOODROW WILSON AVE STE GJackson, MS 39216

Mailing Address219 Greenfield Ridge DrBrandon, MS 39042-7023 · (601) 672-6085 · Fax (844) 270-0967

Phone(769) 572-4425

Fax(844) 270-0967

Sole ProprietorNo

Enumeration DateMarch 11, 2012

Last NPPES UpdateJune 3, 2018

✔ NPI 1013282961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · MS3644-12

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

514 E WOODROW WILSON AVE STE G, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shenika Sharee Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY FAMILY DENTISTRY

Clinic/Center (Dental)

514 E WOODROW WILSON AVE STE G
JACKSON, MS 39216

Hinds County (769) 572-4425

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 Shenika Kelly's NPI number?

The NPI number for Shenika Kelly is 1013282961. It was assigned to this individual provider in the NPPES registry on March 11, 2012.

Where is Shenika Kelly located?

Shenika Kelly practices at 514 E Woodrow Wilson Ave Ste G, Jackson, MS 39216. The listed phone number is (769) 572-4425.

What is Shenika Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shenika Kelly enrolled in Medicare?

Yes. Shenika Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Shenika Kelly accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 10 other insurers list Shenika Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shenika Kelly was last updated on June 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.