MARK C KELLEY DO
NPI 1427004704
Dermatology in Grenada, MS

Active since May 26, 2006PECOS Enrolled
1300 SUNSET DR, SUITE A, GRENADA, MS 38901(662) 227-4463(662) 226-5257 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark C Kelley Do NPPES

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

MARK C KELLEY DO (NPI 1427004704) is an individual dermatology provider in Grenada, Mississippi, licensed in Mississippi (16693) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427004704
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMARK C KELLEYCredential: DO
Location Address1300 SUNSET DR, SUITE AGrenada, MS 38901-4086
Mailing Address1300 Sunset Dr, Suite AGrenada, MS 38901-4086 · (662) 227-4463 · Fax (662) 226-5257
Fax(662) 226-5257
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 15, 2008
NPI 1427004704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MS · 16693
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1300 SUNSET DR, Grenada, MS 38901

Other Identifiers 2

Medicare UPING91414
Medicare PIN512I080025MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark C Kelley Do 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 38901 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 20

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

Family Medicine
1300 SUNSET DR, SUITE B
GRENADA, MS 38901
Otolaryngology
1300 SUNSET DR, SUITE R
GRENADA, MS 38901
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, STE W
GRENADA, MS 38901
Surgery
1300 SUNSET DR, SUITE R
GRENADA, MS 38901
Nurse Practitioner
1300 SUNSET DR, STE Q
GRENADA, MS 38901
Clinic/Center
1300 SUNSET DR, SUITE U
GRENADA, MS 38901
Physical Therapist
1300 SUNSET DR, STE G
GRENADA, MS 38901
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, SUITE W
GRENADA, MS 38901

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 Mark Kelley's NPI number?

The NPI number for Mark Kelley is 1427004704. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Mark Kelley located?

Mark Kelley practices at 1300 Sunset Dr Suite A, Grenada, MS 38901. The listed phone number is (662) 227-4463.

What is Mark Kelley's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mark Kelley enrolled in Medicare?

Yes. Mark Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Kelley was last updated on April 15, 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.