MRS. KELLY COLEMAN STATHAM AGPCNP-BC
NPI 1659741429
Nurse Practitioner in Birmingham, AL
About Mrs. Kelly Coleman Statham Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY COLEMAN STATHAM AGPCNP-BC (NPI 1659741429) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-126752) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Coleman Statham Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
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 Statham's NPI number?
The NPI number for Kelly Statham is 1659741429. It was assigned to this individual provider in the NPPES registry on October 5, 2015. The provider is also known as Miss Catherine Kelly Coleman.
Where is Kelly Statham located?
Kelly Statham practices at 3980 Colonnade Pkwy, Birmingham, AL 35243. The listed phone number is (205) 599-3525.
What is Kelly Statham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Statham enrolled in Medicare?
Yes. Kelly Statham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Statham was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Kelly Coleman Statham, AGPCNP-BC · NPI 1659741429
Nurse Practitioner physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since October 5, 2015.
## Identity
- **NPI:** 1659741429 (Entity type: Individual)
- **Enumerated:** October 5, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1-126752 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 3980 COLONNADE PKWY, Birmingham, AL 35243-2382
- **Phone:** (205) 599-3525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 5, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1659741429) · Data from the CMS NPPES public registry.