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DR. RICHARD JEAN KELLY M.D. NPI 1508820424


NPI Information

NPI: 1508820424
Provider Name: DR. RICHARD JEAN KELLY, M.D.
Classification: Radiology - 2085N0904X
Entity Type: Individual

Specialization: Nuclear Radiology

PECOS Registration: Yes

Address:
840 STEVENS CREEK RD
AUGUSTA, GA
ZIP 30907
Phone: (706) 722-6957
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DR. Richard Jean Kelly, M.D. is a nuclear radiology radiology in Augusta, GA with 47 years of experience. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. DR. Richard Jean Kelly, M.D. NPI is 1508820424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

840 STEVENS CREEK RD
AUGUSTA, GA
ZIP 30907-251
Phone: (706) 722-6957
Fax: (706) 722-7454

The NPI 1508820424 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 4/17/2006 and was last updated on 4/3/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody Imaging031045GEORGIANo
22085N0700XRadiologyNeuroradiology031045GEORGIANo
32085N0904XRadiologyNuclear Radiology031045GEORGIAYes
42085P0229XRadiologyPediatric Radiology031045GEORGIANo
52085R0202XRadiologyDiagnostic Radiology031045GEORGIANo
62085U0001XRadiologyDiagnostic Ultrasound031045GEORGIANo
72085D0003XRadiologyDiagnostic Neuroimaging031045GEORGIANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100368618BMEDICAIDGEORGIA
200368618GMEDICAIDGEORGIA
300368618JMEDICAIDGEORGIA
41265540314OTHERNPI - BROWN & RADIOLOGY
500368618HMEDICAIDGEORGIA
6102613MEDICAIDSOUTH CAROLINA
700368618FMEDICAIDGEORGIA
800368618CMEDICAIDGEORGIA
900368618EMEDICAIDGEORGIA
1000368618IMEDICAIDGEORGIA
1110058872OTHERAMERIGROUP

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.