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DR. KELLY ELIZABETH GUEDRY D.D.S.
NPI 1457799082
Dentist - General Practice in Clinton, LA

Active since June 05, 2013PECOS Enrolled
11990 JACKSON ST, CLINTON, LA 70722(225) 683-5292(225) 683-1310 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Elizabeth Guedry D.d.s. NPPES

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

DR. KELLY ELIZABETH GUEDRY D.D.S. (NPI 1457799082) is an individual general practice provider in Clinton, Louisiana, licensed in Louisiana (6349) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1457799082
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY ELIZABETH GUEDRYCredential: D.D.S.
Location Address11990 JACKSON STClinton, LA 70722-3210
Mailing Address3526 Bon Sejour AveBaton Rouge, LA 70820-5061 · (985) 513-0681
Phone(225) 683-5292
Fax(225) 683-1310
Sole ProprietorNo
Enumeration DateJune 5, 2013
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1457799082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 6349
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.
Also ListedDentistTaxonomy 122300000X · License 6349 (LA)
11990 JACKSON ST, Clinton, LA 70722
Open in Google Maps ↗

Secondary Practice Location 1

Location 110631 Hillary CtBaton Rouge, LA 70810-2842 · Phone (225) 590-3835

Other Identifiers 1

Medicaid1863491LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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. Kelly Elizabeth Guedry D.d.s. 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 70722 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

CASSANDRA MCPHATE RN
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MRS. SHANTELE ANGELA BUTLER LPC-S
Counselor (Professional)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
SANDRA WILSON COLLINS
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-1380
TARA ELIZABETH SMITH LDN
Dietitian, Registered
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
KELLI R BARBAY LCSW
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MRS. KELLY BANKSTON APRN
Nurse Practitioner (Family)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MIRANDA SMITH GSW
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
DR. LAUREN OLSON SMITH D.M.D
Dentist (General Practice)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292

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 Kelly Guedry's NPI number?

The NPI number for Kelly Guedry is 1457799082. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Kelly Guedry located?

Kelly Guedry practices at 11990 Jackson St, Clinton, LA 70722. The listed phone number is (225) 683-5292.

What is Kelly Guedry's specialty?

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

Is Kelly Guedry enrolled in Medicare?

Yes. Kelly Guedry is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Guedry accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 14 other insurers list Kelly Guedry 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 Kelly Guedry was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.