GARRETT KELLY MD NPI 1407820939

NPI Information

  • NPI: 1407820939
  • Provider Name: GARRETT KELLY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1168 FIRST COLONIAL RD
    VIRGINIA BEACH, VA
    ZIP 23454
  • Phone: (757) 352-2020

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NPI Details

Garrett Kelly, MD is a family medicine in Virginia Beach, VA with 41 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Garrett Kelly, MD NPI is 1407820939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1985

The provider's business location address is:

1168 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454-444
Phone: (757) 352-2020
Fax: (757) 686-0541

The NPI 1407820939 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 4/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0102036923VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1122066OTHERVIRGINIASENTARA/OPTIMA
2171965OTHERVIRGINIAANTHEM
3541595397OTHERVIRGINIAPRIVATE HEALTHCARE SYSTEM
4541595397OTHERVIRGINIAVIRGINIA HEALTH NETWORK
54084676OTHERVIRGINIAAETNA
6010021235MEDICAIDVIRGINIA
7541595397OTHERVIRGINIAMID ATLANTIC SOLUTIONS
8541595397OTHERVIRGINIACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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