MRS. VIVIAN A. KELLEY NP
NPI 1669539094
Chore Provider in Fort Gordon, GA
NPI Status: Active since January 03, 2007
Contact Information
300 W HOSPITAL ROAD
EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA
ZIP 30905
Phone: (706) 787-2720
Fax: (706) 787-8176
- Individual
- Female
- Chore Provider
- PECOS Enrolled
About VIVIAN KELLEY
This page provides the complete NPI Profile along with additional information for Vivian Kelley, a provider established in Fort Gordon, Georgia with a medical specialization in Chore Provider. The healthcare provider is registered in the NPI registry with number 1669539094 assigned on January 2007. The practitioner's primary taxonomy code is 372500000X with license number 1-050977 (AL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1669539094
- Provider Name
- MRS. VIVIAN A. KELLEY NP
- Other Name
- MS. VIVIAN A. BRUCE
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905
- Location Phone
- (706) 787-2720
- Location Fax
- (706) 787-8176
- Mailing Address
- 300 W. HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905
- Mailing Phone
- (706) 787-2720
- Mailing Fax
- (706) 787-8176
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-03-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chore Provider
- Taxonomy Code
- 372500000X
- Type
- Nursing Service Related Providers
- License No.
- 1-050977
- License State
- AL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | RN159555 (GA) |
Medicare Participation & PECOS Enrollment Status
Vivian Kelley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669539094, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FT. GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FT GORDON, GA 30905
FORT GORDON, GA 30905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669539094, enumerated as an "individual" on January 03, 2007.
The provider is located at 300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905 and the phone number is (706) 787-2720.
Chore Provider with taxonomy code 372500000X.
