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KELLY HEALTH & WELLNESS CLINIC LLC
NPI 1982593935
Nurse Practitioner - Family in Greenwood, MS

Active since July 02, 2025CLIA 25D2327158 · Waiver
102 E CLAIBORNE AVE STE D, GREENWOOD, MS 38930(662) 219-3513(662) 219-3514 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Health & Wellness Clinic Llc NPPES

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

KELLY HEALTH & WELLNESS CLINIC LLC (NPI 1982593935) is a healthcare organization registered as a family in Greenwood, Mississippi and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Joby G Kelly, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1982593935
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKELLY HEALTH & WELLNESS CLINIC LLC
Location Address102 E CLAIBORNE AVE STE DGreenwood, MS 38930-3518
Mailing Address102 E Claiborne AveGreenwood, MS 38930-3518 · (662) 219-3513 · Fax (662) 219-3514
Phone(662) 219-3513
Fax(662) 219-3514
Organization SubpartNo
Authorized OfficialJoby G KellyOwner/provider · (662) 219-3513
Enumeration DateJuly 2, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 3, 2025
✔ NPI 1982593935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
102 E CLAIBORNE AVE STE D, Greenwood, MS 38930
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2327158

Kelly Health & Wellness Clinic · Greenwood, MS
Active · expires Jul 16, 2027
CLIA Number25D2327158
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorToby G. Kelly
Laboratory Phone(662) 219-3513
Laboratory LocationKelly Health & Wellness Clinic102 E Claiborne Suite D, Greenwood, MS 38930
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SEQUETTA TENESHIA WEAVER-BRAXTON REGISTERED NURSE
Registered Nurse
102 E CLAIBORNE AVE STE D
GREENWOOD, MS 38930
Leflore County (601) 955-3901

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 Health & Wellness Clinic LLC's NPI number?

The NPI number for Kelly Health & Wellness Clinic LLC is 1982593935. It was assigned to this organization in the NPPES registry on July 2, 2025.

Where is Kelly Health & Wellness Clinic LLC located?

Kelly Health & Wellness Clinic LLC is located at 102 E Claiborne Ave Ste D, Greenwood, MS 38930. The listed phone number is (662) 219-3513.

What is Kelly Health & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Kelly Health & Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2327158) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kelly Health & Wellness Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Kelly Health & Wellness Clinic LLC 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 Health & Wellness Clinic LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.