KELLY CHIROPRACTIC P C
NPI 1992995385
Chiropractor in Richmond Hill, GA

Active since July 31, 2007
10164 FORD AVE STE B, RICHMOND HILL, GA 31324(912) 756-8080(912) 756-8170 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, Apr 29, 2026 (2 updates tracked since 2026).

About Kelly Chiropractic P C NPPES

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

KELLY CHIROPRACTIC P C (NPI 1992995385), doing business as Woodrow Timothy Kelly D C, is a healthcare organization registered as a chiropractor in Richmond Hill, Georgia and active in the NPI registry since July 2007. The organization lists Alicia L Vasser, Ca, as its authorized official.

NPPES Registry Identity

NPI1992995385
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKELLY CHIROPRACTIC P C
Location Address10164 FORD AVE STE BRichmond Hill, GA 31324-3948
Mailing Address10164 Ford Ave Ste BRichmond Hill, GA 31324-3948 · (912) 756-8080 · Fax (912) 756-8170
Fax(912) 756-8170
Organization SubpartNo
Authorized OfficialAlicia L VasserCa · (912) 756-8080
Enumeration DateJuly 31, 2007
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1992995385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 6850
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
10164 FORD AVE STE B, Richmond Hill, GA 31324

Other Names 1

Doing Business AsWoodrow Timothy Kelly D C

Other Identifiers 1

OtherGRP6134GA · Medicare Group Number

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Chiropractic P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Chiropractic P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1265549976
10164 FORD AVE STE B
Richmond Hill, GA 31324
(912) 756-8080
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chiropractic P C's NPI number?

The NPI number for Kelly Chiropractic P C is 1992995385. It was assigned to this organization in the NPPES registry on July 31, 2007. The provider is doing business as Woodrow Timothy Kelly D C.

Where is Kelly Chiropractic P C located?

Kelly Chiropractic P C is located at 10164 Ford Ave Ste B, Richmond Hill, GA 31324. The listed phone number is (912) 756-8080.

What is Kelly Chiropractic P C's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kelly Chiropractic P C enrolled in Medicare?

Yes. Kelly Chiropractic P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Chiropractic P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kelly Chiropractic P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Chiropractic P C was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.