MRS. KIMBERLY ANN KELLY L.P.C
NPI 1992944870
Clinic/Center - Multi-Specialty in Tupelo, MS
About Mrs. Kimberly Ann Kelly L.p.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY ANN KELLY L.P.C (NPI 1992944870) is an individual multi-specialty provider in Tupelo, Mississippi, licensed in Mississippi (1923) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Guntown, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 6
Accepted Insurance
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
Mrs. Kimberly Ann Kelly L.p.c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Kelly's NPI number?
The NPI number for Kimberly Kelly is 1992944870. It was assigned to this individual provider in the NPPES registry on February 17, 2009.
Where is Kimberly Kelly located?
Kimberly Kelly practices at 2164 Southridge Dr, Tupelo, MS 38801. The listed phone number is (662) 760-0115.
What is Kimberly Kelly's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Kimberly Kelly enrolled in Medicare?
Yes. Kimberly Kelly 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 Kimberly Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kelly reassigns Medicare benefits to Journey Resource Center LLC (Tupelo, 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 Kimberly Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Kelly accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Kimberly Kelly 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 Kimberly Kelly was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mrs. Kimberly Ann Kelly, L.P.C · NPI 1992944870
Multi-Specialty provider in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since February 17, 2009.
## Identity
- **NPI:** 1992944870 (Entity type: Individual)
- **Enumerated:** February 17, 2009
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **State license:** 1923 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2164 SOUTHRIDGE DR, Tupelo, MS 38801-6417
- **Phone:** (662) 760-0115 · **Fax:** (662) 596-0428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Journey Resource Center LLC (NPI 1033510391, Tupelo, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 29, 2025
- **Other identifiers:** Medicaid 01437332 (MS); Other 83-4622726 (MS); Medicaid 001437332 (MS); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992944870) · Data from the CMS NPPES public registry.