CHARLES E KELLY MD NPI 1780678979

NPI Information

  • NPI: 1780678979
  • Provider Name: CHARLES E KELLY, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 2839 HWY 231 NORTH
    SUITE 208A
    SHELBYVILLE, TN
    ZIP 37160
  • Phone: (931) 685-8783

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NPI Details

Charles E Kelly, MD is a gastroenterology internal medicine in Shelbyville, TN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Charles E Kelly, MD NPI is 1780678979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2839 HWY 231 NORTH
SUITE 208A
SHELBYVILLE, TN
ZIP 37160-449
Phone: (931) 685-8783
Fax: (931) 685-8784

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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Dilation of esophagus with a guide wire (HCPCS:43453)

The enumeration date for this NPI number is 9/2/2005 and was last updated on 3/13/2009.

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
1174400000XSpecialist40151TENNESSEENo
2207RG0100XInternal MedicineGastroenterology40151TENNESSEEYes

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
1F14963MEDICARE UPIN
233347241MEDICARE PINTENNESSEE
33334724MEDICAIDTENNESSEE

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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