KELLY LANE BLAIR PH.D
NPI 1891711131
Psychologist - Clinical in Jackson, TN

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.73/100
CMS Quality Rating
708 W FOREST AVE, JACKSON, TN 38301(731) 425-4930 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Lane Blair Ph.d NPPES

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

KELLY LANE BLAIR PH.D (NPI 1891711131) is an individual clinical provider in Jackson, Tennessee, licensed in Tennessee (1706) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1891711131
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY LANE BLAIRCredential: PH.D
Location Address708 W FOREST AVEJackson, TN 38301-3901
Mailing Address1804 Highway 45 Byp, Suite 604Jackson, TN 38305-4436 · (731) 660-8759
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 31, 2009
NPI 1891711131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TN · 1706
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 1706 (TN)
708 W FOREST AVE, Jackson, TN 38301

Accepted 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 Lane Blair Ph.d 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 ID6507864923
PECOS Enrollment IDI20061120000246
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
464 services437 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
130 services41 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
116 services28 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
67 services67 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
66 services66 patients
Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

95.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.39
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Physician Assistant (Medical)
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Physician Assistant (Medical)
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301

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 Blair's NPI number?

The NPI number for Kelly Blair is 1891711131. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Kelly Blair located?

Kelly Blair practices at 708 W Forest Ave, Jackson, TN 38301. The listed phone number is (731) 425-4930.

What is Kelly Blair's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Blair enrolled in Medicare?

Yes. Kelly Blair 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.

What insurance does Kelly Blair accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kelly Blair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Blair was last updated on July 31, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.