1. Home
  2. Directory
  3. Georgia
  4. Fort Stewart
  5. Military Health Care Provider
  6. NPI Profile

JERRY KELLY
NPI 1043611783
Military Health Care Provider in Fort Stewart, GA

Active since September 12, 2014
1061 HARMON AVE, FORT STEWART, GA 31314(912) 435-5211 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jerry Kelly NPPES

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

JERRY KELLY (NPI 1043611783) is an individual military health care provider provider in Fort Stewart, Georgia, licensed in (E3038628) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1043611783
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJERRY KELLY
Location Address1061 HARMON AVEFort Stewart, GA 31314-5641
Mailing Address1061 Harmon AveFort Stewart, GA 31314-5641 · (912) 435-5211
Phone(912) 435-5211
Sole ProprietorYes
Enumeration DateSeptember 12, 2014
✔ NPI 1043611783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed · E3038628
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
1061 HARMON AVE, Fort Stewart, GA 31314
Open in Google Maps ↗

Other Identifiers 1

OtherE3038628Nremt

Other Providers at the Same Location NPPES 20

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

CHERYL ROBINSON RN
Registered Nurse (Continuing Education/Staff Development)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-5006
WILLIAM ENGLISH R.N.
Registered Nurse (Case Management)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6628
MS. ALEXANDRA DEANN CHAMBLESS LPN
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-5774
EDWIN MARTINEZ
Dental Assistant
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 767-6174
JALAIGH HUNT LPN
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6964
LARIANN S ROSS APRN-BC
Nurse Practitioner (Family)
1061 HARMON AVE, DMC/IMC
FORT STEWART, GA 31314
Liberty County (912) 435-5706
MISS HEIDI NICOLE HILL LISW-S
Social Worker (Clinical)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6633
JACOB TURLEY MILLER PHARMD
Pharmacist
1061 HARMON AVE, STE 1D03
FORT STEWART, GA 31314
Liberty County (912) 435-6933

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 Jerry Kelly's NPI number?

The NPI number for Jerry Kelly is 1043611783. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Where is Jerry Kelly located?

Jerry Kelly practices at 1061 Harmon Ave, Fort Stewart, GA 31314. The listed phone number is (912) 435-5211.

What is Jerry Kelly's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jerry Kelly was last updated on September 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.