KELLY GRAY HILL DALE MD
NPI 1801474549
Internal Medicine in Jackson, MS

Q: What is Kelly Dale's NPI number?

The NPI number for Kelly Dale is 1801474549. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Kelly Dale's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Dale was last updated on July 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: July 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2021, Apr 21, 2021, Apr 1, 2021 (3 updates tracked since 2021).

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About Kelly Gray Hill Dale Md NPPES

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

KELLY GRAY HILL DALE MD (NPI 1801474549) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (T-4380) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of University Of Mississippi School Of Medicine (2021).

NPPES Registry Identity

NPI1801474549

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKELLY GRAY HILL DALECredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address1034 Saint Ann StJackson, MS 39202-2144

Phone(601) 984-1000

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateJuly 11, 20213 updates tracked since enumeration

NPPES CertifiedJuly 11, 2021

✔ NPI 1801474549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MS · T-4380

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Gray Hill Dale Md 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 ID5193259968

PECOS Enrollment IDI20250312003771

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)