Mr Joby Garrard Kelly, CFNP - Medicare Nurse Practitioner in Grenada, MS

Mr Joby Garrard Kelly, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Grenada, Mississippi. His current practice location is 700 Sunset Dr, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 307-2884.

Mr Joby Garrard Kelly is licensed to practice in Mississippi (license number 905988) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629752605.

Contact Information

Mr Joby Garrard Kelly, CFNP
700 Sunset Dr,
Grenada, MS 38901-4091
(662) 307-2884
(662) 307-2887



Provider's Profile

Full NameMr Joby Garrard Kelly
GenderMale
SpecialityNurse Practitioner - Family
Location700 Sunset Dr, Grenada, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629752605
  • Provider Enumeration Date: 06/12/2023
  • Last Update Date: 06/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981063229
  • Enrollment ID: I20230705003285

Medical Identifiers

Medical identifiers for Mr Joby Garrard Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629752605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 905988 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Joby Garrard Kelly allows following entities to bill medicare on his behalf.
Entity NameDelta Heart & Vascular Center, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174506281
PECOS PAC ID: 1355390063
Enrollment ID: O20050120000416

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Entity NameCurana Health Of Mississippi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013395615
PECOS PAC ID: 3678887700
Enrollment ID: O20150804003642

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Entity NamePain Treatment Centers Of America Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841619731
PECOS PAC ID: 2769608819
Enrollment ID: O20211104001837

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Joby Garrard Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Joby Garrard Kelly, CFNP
Po Box 306415,
Nashville, TN 37230-6415

Ph: (931) 253-1110
Mr Joby Garrard Kelly, CFNP
700 Sunset Dr,
Grenada, MS 38901-4091

Ph: (662) 307-2884

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Nurse Practitioner Nurses in Grenada, MS

Kelsey Marter Faulkner,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 965 Avent Dr, Grenada, MS 38901
Phone: 601-815-2005    
Mrs. Agnes Pamela Upchurch, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901
Phone: 662-229-0669    Fax: 662-227-9929
Courtney Bullard, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1966 F S Hill Dr, Grenada, MS 38901
Phone: 662-688-1519    
Mrs. Ashley Nicole Woods, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 140 Broadfield Dr, Grenada, MS 38901
Phone: 662-809-2419    
Latia Monanette Butts, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901
Phone: 662-349-2442    Fax: 662-349-8551
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Grandview Dr, Grenada, MS 38901
Phone: 662-227-3700    Fax: 662-227-3740
Alison Campbell, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901
Phone: 662-226-0110    

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