KELLY ATKINSON CHAMBERS SLP
NPI 1740179001
Speech-Language Pathologist in Forest, MS

Active since July 01, 2025Accepts Medicare Assignment
237 N WOODLAND DR, FOREST, MS 39074(601) 564-8750 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Atkinson Chambers Slp NPPES

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

KELLY ATKINSON CHAMBERS SLP (NPI 1740179001) is an individual speech-language pathologist provider in Forest, Mississippi and active in the NPI registry since July 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1740179001
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY ATKINSON CHAMBERSCredential: SLP
Location Address237 N WOODLAND DRForest, MS 39074-3307
Mailing Address921 W Beacon StPhiladelphia, MS 39350-3229 · (601) 650-0002
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1740179001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
237 N WOODLAND DR, Forest, MS 39074

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Atkinson Chambers Slp 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 ID7517466253
PECOS Enrollment IDI20250819002262

Medicare Billing Reassignment

Medicare enrollment records show Kelly Chambers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
PERFORMANCE THERAPY, LLC, 921 W BEACON STREET
Philadelphia, MS 39350
  • Reassigned Medicare billing, Mississippi enrollment
  • 123 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
237 N WOODLAND DR
FOREST, MS 39074
Physical Therapist
237 N WOODLAND DR
FOREST, MS 39074
Speech-Language Pathologist
237 N WOODLAND DR
FOREST, MS 39074
Occupational Therapist
237 N WOODLAND DR
FOREST, MS 39074
Occupational Therapist
237 N WOODLAND DR
FOREST, MS 39074

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 Chambers's NPI number?

The NPI number for Kelly Chambers is 1740179001. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Kelly Chambers located?

Kelly Chambers practices at 237 N Woodland Dr, Forest, MS 39074. The listed phone number is (601) 564-8750.

What is Kelly Chambers's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Chambers enrolled in Medicare?

Yes. Kelly Chambers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Chambers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Chambers reassigns Medicare benefits to Performance Therapy LLC (Philadelphia, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Chambers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Chambers was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.