DR. GAYLORD LEE KELLEY JR. DC
NPI 1407815459
Chiropractor in Conway, SC

Q: What is Gaylord Kelley's NPI number?

The NPI number for Gaylord Kelley is 1407815459. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Gaylord Kelley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gaylord Kelley was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 20, 2006Accepts Medicare Assignment

1238 PINE ST, CONWAY, SC 29526(843) 248-5814(843) 248-0116 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Gaylord Lee Kelley Jr. Dc NPPES

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

DR. GAYLORD LEE KELLEY JR. DC (NPI 1407815459) is an individual chiropractor in Conway, South Carolina, licensed in South Carolina (1407) and active in the NPI registry since March 2006. He is a graduate of Other (1990).

NPPES Registry Identity

NPI1407815459

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. GAYLORD LEE KELLEY JR.Credential: DC

Location Address1238 PINE STConway, SC 29526

Mailing AddressPo Box 394Conway, SC 29528-0394 · (843) 248-5814 · Fax (843) 248-0116

Phone(843) 248-5814

Fax(843) 248-0116

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMarch 20, 2006

Last NPPES UpdateMay 20, 2008

✔ NPI 1407815459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in SC · 1407

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.

1238 PINE ST, Conway, SC 29526

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Other Identifiers 2

Medicare ID-Type UnspecifiedU646630281SC

Medicare UPIN582275795SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gaylord Lee Kelley Jr. Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052217973

PECOS Enrollment IDI20031211000125

Medicare Billing Reassignment

Medicare enrollment records show Gaylord Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conway Chiropractic Center PC

Same address

Chiropractor

1238 PINE ST
Conway, SC 29526

Reassigned Medicare billing, South Carolina enrollment

NPI 1982652681 (843) 248-5814

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

741 services124 patients

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

653 services101 patients

Chiropractic manipulative treatment, 5 spinal regions 98942

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.

289 services43 patients

Other Providers at the Same Location NPPES

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

CONWAY CHIROPRACTIC CENTER PC

Chiropractor

1238 PINE ST
CONWAY, SC 29526

Horry County (843) 248-5814

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 Gaylord Kelley's NPI number?

The NPI number for Gaylord Kelley is 1407815459. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Gaylord Kelley located?

Gaylord Kelley practices at 1238 Pine St, Conway, SC 29526. The listed phone number is (843) 248-5814.

What is Gaylord Kelley's specialty?

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

Is Gaylord Kelley enrolled in Medicare?

Yes. Gaylord Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gaylord Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaylord Kelley reassigns Medicare benefits to Conway Chiropractic Center PC (Conway, SC). The 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 Gaylord Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gaylord Kelley was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.