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TELL-A-NEURODOC, LLC
NPI 1164986774
Neuromusculoskeletal Medicine & OMM in Edmond, OK

Active since January 28, 2019CLIA 37D2164077 · Waiver
1113 NW 197TH ST, EDMOND, OK 73012(405) 696-3773(405) 424-3125 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tell-a-neurodoc, Llc NPPES

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

TELL-A-NEURODOC, LLC (NPI 1164986774) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Edmond, Oklahoma and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kim Nelson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164986774
Entity TypeOrganization
Primary Taxonomy204D00000X
Legal Business NameTELL-A-NEURODOC, LLC
Location Address1113 NW 197TH STEdmond, OK 73012-3407
Mailing Address1113 Nw 197th StEdmond, OK 73012-3407 · (405) 696-3773 · Fax (405) 424-3125
Phone(405) 696-3773
Fax(405) 424-3125
Organization SubpartNo
Authorized OfficialKim NelsonOffice Manager · (405) 590-2940
Enumeration DateJanuary 28, 2019
✔ NPI 1164986774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
1113 NW 197TH ST, Edmond, OK 73012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tell-a-neurodoc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tell-A-Neurodoc, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kent Smalley, M.D.
Neurology
NPI 1043265770
3432 NW 178TH ST STE A
Edmond, OK 73012
(405) 696-3773
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2164077

Tellaneurodoc, LLC · Edmond, OK
Active · expires Mar 26, 2027
CLIA Number37D2164077
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorKent R. Smalley
Laboratory Phone(405) 696-3773
Laboratory LocationTellaneurodoc, LLC3432 NW 178th St, Suite A, Edmond, OK 73012
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tell-A-Neurodoc, LLC's NPI number?

The NPI number for Tell-A-Neurodoc, LLC is 1164986774. It was assigned to this organization in the NPPES registry on January 28, 2019.

Where is Tell-A-Neurodoc, LLC located?

Tell-A-Neurodoc, LLC is located at 1113 NW 197th St, Edmond, OK 73012. The listed phone number is (405) 696-3773.

What is Tell-A-Neurodoc, LLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Tell-A-Neurodoc, LLC enrolled in Medicare?

Yes. Tell-A-Neurodoc, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tell-A-Neurodoc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Tell-A-Neurodoc, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tell-A-Neurodoc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2164077) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tell-A-Neurodoc, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Tell-A-Neurodoc, LLC 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 Tell-A-Neurodoc, LLC was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.