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KELLEY CHRISTIAN GOWDY FNP-BC
NPI 1497083927
Nurse Practitioner - Family in Waynesboro, MS

Active since November 20, 2009PECOS Enrolled
52.37/100
CMS Quality Rating
1008 AZALEA DR, WAYNESBORO, MS 39367(601) 509-2584(601) 509-2585 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelley Christian Gowdy Fnp-bc NPPES

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

KELLEY CHRISTIAN GOWDY FNP-BC (NPI 1497083927) is an individual family provider in Waynesboro, Mississippi, licensed in Mississippi (860748) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497083927
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY CHRISTIAN GOWDYCredential: FNP-BC
Location Address1008 AZALEA DRWaynesboro, MS 39367-2499
Mailing Address1008 Azalea DrWaynesboro, MS 39367-2499 · (601) 509-2584 · Fax (601) 509-2585
Phone(601) 509-2584
Fax(601) 509-2585
Sole ProprietorNo
Enumeration DateNovember 20, 2009
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1497083927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 860748
1008 AZALEA DR, Waynesboro, MS 39367
Open in Google Maps ↗

Other Identifiers 1

Medicaid04424823MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Christian Gowdy Fnp-bc 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelley Christian Gowdy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Services Of Meridian PA
48 mi
Hospitalist
2124 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 88 clinicians in this Medicare group
NPI 1639629777 (601) 553-6000
Upperline Healthcare, PC
160 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Mississippi enrollment
  • 207 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Fast Pace Mississippi, PLLC
211 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39367 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
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.38
Improvement Activities40
Cost34.97

Other Providers at the Same Location NPPES 3

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

DAVA HOLIFIELD
Nurse Practitioner (Family)
1008 AZALEA DR
WAYNESBORO, MS 39367
Wayne County (601) 509-2584
MANDY YVETTE MUNN FNP
Nurse Practitioner (Family)
1008 AZALEA DR
WAYNESBORO, MS 39367
Wayne County (601) 509-2584
KAMARIO GRANGER FNP
Nurse Practitioner (Family)
1008 AZALEA DR
WAYNESBORO, MS 39367
Wayne County (601) 509-2584

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 Kelley Christian Gowdy's NPI number?

The NPI number for Kelley Christian Gowdy is 1497083927. It was assigned to this individual provider in the NPPES registry on November 20, 2009.

Where is Kelley Christian Gowdy located?

Kelley Christian Gowdy practices at 1008 Azalea Dr, Waynesboro, MS 39367. The listed phone number is (601) 509-2584.

What is Kelley Christian Gowdy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Christian Gowdy enrolled in Medicare?

Yes. Kelley Christian Gowdy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelley Christian Gowdy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Christian Gowdy reassigns Medicare benefits to 3 organizations: Hospitalist Services Of Meridian PA (Meridian, MS), Upperline Healthcare, PC (Hoover, AL) and Fast Pace Mississippi, PLLC (Ripley, MS). Each 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 Kelley Christian Gowdy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Christian Gowdy accept?

Health plans from Molina Healthcare list Kelley Christian Gowdy 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 Kelley Christian Gowdy was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.