JERRY KELLY
NPI 1043611783
Military Health Care Provider in Fort Stewart, GA
NPI Status: Active since September 12, 2014
Contact Information
1061 HARMON AVE
FORT STEWART, GA
ZIP 31314
Phone: (912) 435-5211
- Individual
- Male
- Military Health Care Provider
About JERRY KELLY
This page provides the complete NPI Profile along with additional information for Jerry Kelly, a provider established in Fort Stewart, Georgia with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1043611783 assigned on September 2014. The practitioner's primary taxonomy code is 171000000X with license number E3038628 (). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1043611783
- Provider Name
- JERRY KELLY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1061 HARMON AVE FORT STEWART, GA 31314
- Location Phone
- (912) 435-5211
- Mailing Address
- 1061 HARMON AVE FORT STEWART, GA 31314
- Mailing Phone
- (912) 435-5211
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-12-2014
- Last Update Date
- 09-12-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- License No.
- E3038628
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E3038628 | OTHER (01) | NREMT |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043611783, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT STEWART, GA 31314
FORT STEWART, GA 31314
FT STEWART, GA 31314
FORT STEWART, GA 31314
FORT STEWART, GA 31314
FORT STEWART, GA 31314
FT STEWART, GA 31314
FT STEWART, GA 31314
FORT STEWART, GA 31314
FORT STEWART, GA 31314
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043611783, enumerated as an "individual" on September 12, 2014.
The provider is located at 1061 HARMON AVE FORT STEWART, GA 31314 and the phone number is (912) 435-5211.
Military Health Care Provider with taxonomy code 171000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
