MRS. KIMBERLY ANN KELLY L.P.C
NPI 1992944870
Clinic/Center - Multi-Specialty in Tupelo, MS

Active since February 17, 2009PECOS EnrolledAccepts Medicare Assignment
2164 SOUTHRIDGE DR, TUPELO, MS 38801(662) 760-0115(662) 596-0428 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, May 13, 2024, Jun 23, 2016 (3 updates tracked since 2016).

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 and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992944870
Entity TypeIndividualFemale
Primary Taxonomy261QM1300X
Provider Legal NameMRS. KIMBERLY ANN KELLYCredential: L.P.C
Location Address2164 SOUTHRIDGE DRTupelo, MS 38801-6417
Mailing Address238 County Road 2446Guntown, MS 38849-9106 · (662) 760-0115 · Fax (662) 596-0428
Fax(662) 596-0428
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 17, 2009
Last NPPES UpdateJanuary 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1992944870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in MS · 1923
Also ListedCounselorTaxonomy 101Y00000X · License 1923 (MS)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1923 (MS)
2164 SOUTHRIDGE DR, Tupelo, MS 38801

Other Identifiers 6

Medicaid01437332MS
Other83-4622726MS · Commercial
Medicaid001437332MS
Medicaid83-4622726MS
Medicaid01376867MS
Medicaid001376867MS

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

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.

PECOS PAC ID7416473749
PECOS Enrollment IDI20250429002835
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.

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.

New Patient
$159.18 typical visit price
range $51.65 – $159.18
Typical copayment $39.79 (range $12.91 – $39.79)
Most-billed visit code 99205
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 2

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

Counselor (Professional)
2164 SOUTHRIDGE DR
TUPELO, MS 38801
Case Manager/Care Coordinator
2164 SOUTHRIDGE DR
TUPELO, MS 38801

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.

What insurance does Kimberly Kelly accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare 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 18 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.