DR. MARK KELLY DO
NPI 1457394090
Emergency Medicine in Laurel, MS

Active since June 13, 2006
1220 JEFFERSON ST, LAUREL, MS 39440(601) 426-4507(601) 426-4228 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Mark Kelly Do NPPES

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

DR. MARK KELLY DO (NPI 1457394090) is an individual emergency medicine provider in Laurel, Mississippi, licensed in Mississippi (17057) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1457394090
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK KELLYCredential: DO
Location Address1220 JEFFERSON STLaurel, MS 39440-4355
Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 399-6167 · Fax (601) 399-6281
Fax(601) 426-4228
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1457394090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MS · 17057
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1220 JEFFERSON ST, Laurel, MS 39440

Other Identifiers 3

Medicaid00124357MS
Medicare UPINE42410MS
Medicare OSCAR/certification930002435MS

Accepted Insurance

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.

Radiology (Diagnostic Radiology)
1220 JEFFERSON ST
LAUREL, MS 39440
Nurse Practitioner (Acute Care)
1220 JEFFERSON ST
LAUREL, MS 39440
Physical Therapist
1220 JEFFERSON ST
LAUREL, MS 39440
Physical Therapist
1220 JEFFERSON ST
LAUREL, MS 39440
Clinic/Center
1220 JEFFERSON ST
LAUREL, MS 39440
Family Medicine
1220 JEFFERSON ST
LAUREL, MS 39440
Physical Therapist
1220 JEFFERSON ST
LAUREL, MS 39440
Family Medicine
1220 JEFFERSON ST
LAUREL, MS 39440

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 Kelly's NPI number?

The NPI number for Mark Kelly is 1457394090. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Mark Kelly located?

Mark Kelly practices at 1220 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 426-4507.

What is Mark Kelly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Mark Kelly accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Mark 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 Mark Kelly was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.