DR. TIMOTHY P KELLY D.C.
NPI 1063592558
Chiropractor in Atlanta, GA

Active since October 17, 2006
3098 PIEDMONT RD NE STE 430, ATLANTA, GA 30305(404) 477-1589 Get Directions Write a Review

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

About Dr. Timothy P Kelly D.c. NPPES

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

DR. TIMOTHY P KELLY D.C. (NPI 1063592558) is an individual chiropractor in Atlanta, Georgia, licensed in Georgia (CHIR002569) and active in the NPI registry since October 2006. He is a graduate of Life Chiropractic College (1989).

NPPES Registry Identity

NPI1063592558
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY P KELLYCredential: D.C.
Location Address3098 PIEDMONT RD NE STE 430Atlanta, GA 30305-2600
Mailing Address3098 Piedmont Rd Ne Ste 430Atlanta, GA 30305-2600 · (404) 477-1589
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1989
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063592558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in GA · CHIR002569
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3098 PIEDMONT RD NE STE 430, Atlanta, GA 30305

Other Identifiers 2

Other581926737GA · Fed Id #
Medicare UPINU22524GA

Accepted 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)

Dr. Timothy P Kelly D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446412647
PECOS Enrollment IDI20120504000457

Other Providers at the Same Location NPPES

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

Chiropractor
3098 PIEDMONT RD NE STE 430
ATLANTA, GA 30305

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 1063592558. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Timothy Kelly located?

Timothy Kelly practices at 3098 Piedmont Rd NE Ste 430, Atlanta, GA 30305. The listed phone number is (404) 477-1589.

What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Timothy Kelly enrolled in Medicare?

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

What insurance does Timothy Kelly accept?

Health plans from Providence Health Plan list Timothy 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 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.