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MRS. VIVIAN A. KELLEY NP
NPI 1669539094
Chore Provider in Fort Gordon, GA

Active since January 03, 2007PECOS Enrolled
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905(706) 787-2720(706) 787-8176 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Vivian A. Kelley Np NPPES

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

MRS. VIVIAN A. KELLEY NP (NPI 1669539094) is an individual chore provider provider in Fort Gordon, Georgia, licensed in Alabama (1-050977) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669539094
Entity TypeIndividualFemale
Primary Taxonomy372500000X
Provider Legal NameMRS. VIVIAN A. KELLEYCredential: NP
Location Address300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALSFort Gordon, GA 30905-5650
Mailing Address300 W. Hospital Road, Eisenhower Army Medical Center Attn CredentialsFort Gordon, GA 30905-5650 · (706) 787-2720 · Fax (706) 787-8176
Phone(706) 787-2720
Fax(706) 787-8176
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1669539094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChore ProviderNursing Service Related Providers
Taxonomy Code372500000X
License✔ Licensed in AL · 1-050977
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN159555 (GA)
300 W HOSPITAL ROAD, Fort Gordon, GA 30905
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Other Names 1

Former Name (1)Ms. Vivian A. Bruce

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. Vivian A. Kelley Np 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ERIC LARSON DOANE DO
Family Medicine (Adult Medicine)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS
FORT GORDON, GA 30905
Richmond County (706) 787-2183
HELEN ANN SANTIAGO OTR
Military Health Care Provider
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Richmond County (706) 787-2720
DONNA ELAINE MOORE CRNA
Nurse Anesthetist, Certified Registered
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Richmond County (707) 787-2720
MR. CHRISTOPHER MICHAEL BLAND PHARM.D.
Pharmacist (Pharmacotherapy)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Richmond County (706) 787-2720
DR. GAIL MARIE GLUSHKO MD
Allergy & Immunology
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Richmond County (706) 787-2720
EISENHOWER ARMY MEDICAL CENTER
Military Hospital
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER CREDENTIALS
FORT GORDON, GA 30905
Richmond County (706) 787-2720
MS. TAMMY REEDER
Registered Nurse (Case Management)
300 W HOSPITAL ROAD
FT. GORDON, GA 30905
Richmond County (706) 787-2552
MOO O HWANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Richmond County (706) 787-8361

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 Vivian Kelley's NPI number?

The NPI number for Vivian Kelley is 1669539094. It was assigned to this individual provider in the NPPES registry on January 3, 2007. The provider is also known as Ms. Vivian A. Bruce.

Where is Vivian Kelley located?

Vivian Kelley practices at 300 W Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905. The listed phone number is (706) 787-2720.

What is Vivian Kelley's specialty?

The primary specialty registered for this NPI is Chore Provider with taxonomy code 372500000X.

Is Vivian Kelley enrolled in Medicare?

Yes. Vivian Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Kelley was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.