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

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

Map and Direction

Provider's Profile

Full Name	Mr Joby Garrard Kelly
Gender	Male
Speciality	Nurse Practitioner - Family
Location	700 Sunset Dr, Grenada, Mississippi
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1629752605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse 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 Name	Delta Heart & Vascular Center, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174506281 PECOS PAC ID: 1355390063 Enrollment ID: O20050120000416

Entity Name	Curana Health Of Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013395615 PECOS PAC ID: 3678887700 Enrollment ID: O20150804003642

Entity Name	Pain Treatment Centers Of America Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20211104001837

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 Address	Practice 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

Reviews and Comments

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
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
Ralph T Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104

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