DR. JERALD DONALD KELLY DC
NPI 1528095460
Chiropractor in Longview, TX

Q: What is Jerald Kelly's NPI number?

The NPI number for Jerald Kelly is 1528095460. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Jerald Kelly'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 Jerald Kelly was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 27, 2006Accepts Medicare Assignment

2 DOCTOR CIR, LONGVIEW, TX 75605(903) 753-2322(903) 234-2979 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jerald Donald Kelly Dc NPPES

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

DR. JERALD DONALD KELLY DC (NPI 1528095460) is an individual chiropractor in Longview, Texas, licensed in Texas (8145) and active in the NPI registry since June 2006. He is a graduate of Other (1999).

NPPES Registry Identity

NPI1528095460

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JERALD DONALD KELLYCredential: DC

Location Address2 DOCTOR CIRLongview, TX 75605-5050

Mailing Address2 Doctor CirLongview, TX 75605-5050 · (903) 753-2322 · Fax (903) 234-2322

Phone(903) 753-2322

Fax(903) 234-2979

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 27, 2006

Last NPPES UpdateDecember 20, 2021

NPPES CertifiedDecember 20, 2021

✔ NPI 1528095460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 8145

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.

2 DOCTOR CIR, Longview, TX 75605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerald Donald Kelly 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 ID4587824404

PECOS Enrollment IDI20120329000433

Areas of Expertise CMS Part B claims 2

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.

778 services62 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.

297 services47 patients

Other Providers at the Same Location NPPES 8

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

JORDAN B. RICHARDSON FNP-C

Nurse Practitioner (Family)