SHAUNDA ELYSE KELLY MD, DMD
NPI 1659540508
Dentist - Oral and Maxillofacial Surgery in Birmingham, AL

Active since February 25, 2008PECOS Enrolled
2000 6TH AVE S, BIRMINGHAM, AL 35233(205) 934-9999 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaunda Elyse Kelly Md, Dmd NPPES

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

SHAUNDA ELYSE KELLY MD, DMD (NPI 1659540508) is an individual oral and maxillofacial surgery provider in Birmingham, Alabama, licensed in Alabama (5395) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659540508
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameSHAUNDA ELYSE KELLYCredential: MD, DMD
Location Address2000 6TH AVE SBirmingham, AL 35233-2110
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Enumeration DateFebruary 25, 2008
Last NPPES UpdateMarch 14, 2012
NPI 1659540508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AL · 5395
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2000 6TH AVE S, Birmingham, AL 35233

Other Identifiers 12

Other051118221AL · Bcbs
Medicaid130495AL
Medicaid130492AL
Other051118223AL · Bcbs
Medicaid01281210MS
OtherZ17060AL · Viva
Other051118224AL · Bcbs
Other051118226AL · Bcbs
Other051118219AL · Bcbs
Medicaid130497AL
Medicaid130494AL
Medicaid130496AL

Accepted 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)

Shaunda Elyse Kelly Md, Dmd 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 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Pharmacy (Specialty Pharmacy)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Pharmacist (Ambulatory Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Adult Health)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S, INTERVENTIONAL CARDIOLOGY/ STRUCTURAL HEART CLINIC
BIRMINGHAM, AL 35233

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 Shaunda Kelly's NPI number?

The NPI number for Shaunda Kelly is 1659540508. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Shaunda Kelly located?

Shaunda Kelly practices at 2000 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-9999.

What is Shaunda Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Shaunda Kelly enrolled in Medicare?

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

What insurance does Shaunda Kelly accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Shaunda 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 Shaunda Kelly was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.