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DR. THOMAS N. KELLUM DDS
NPI 1205840998
Dentist - General Practice in Tupelo, MS

Active since July 28, 2006PECOS Enrolled
505 ROBINS ST, TUPELO, MS 38804(662) 842-8050(662) 842-5896 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas N. Kellum Dds NPPES

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

DR. THOMAS N. KELLUM DDS (NPI 1205840998) is an individual general practice provider in Tupelo, Mississippi, licensed in Mississippi (2554-90) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205840998
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS N. KELLUMCredential: DDS
Location Address505 ROBINS STTupelo, MS 38804-3715
Mailing AddressPo Box 1486Tupelo, MS 38802-1486 · (662) 842-5080 · Fax (662) 842-5896
Phone(662) 842-8050
Fax(662) 842-5896
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205840998 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 · 2554-90
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.
505 ROBINS ST, Tupelo, MS 38804
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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. Thomas N. Kellum Dds 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 38804 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 2

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

KELLUM DENTAL CLINIC
Clinic/Center (Dental)
505 ROBINS ST
TUPELO, MS 38804
Lee County (662) 842-5080
DANIEL H. KELLUM DDS
Dentist (General Practice)
505 ROBINS ST
TUPELO, MS 38804
Lee County (662) 842-5080

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 Thomas Kellum's NPI number?

The NPI number for Thomas Kellum is 1205840998. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Thomas Kellum located?

Thomas Kellum practices at 505 Robins St, Tupelo, MS 38804. The listed phone number is (662) 842-8050.

What is Thomas Kellum's specialty?

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

Is Thomas Kellum enrolled in Medicare?

Yes. Thomas Kellum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Kellum 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.