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CHARLES E.KELLY & COMPANY NPI 1184021347


NPI Information

NPI: 1184021347
Provider Name: CHARLES E.KELLY & COMPANY

Doing Business As: TIPPIN BANK & TRUST COMPANY

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
409 OAK ST
CLAXTON, GA
ZIP 30417
Phone: (912) 739-1122
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CHARLES E.KELLY & COMPANY is a preferred provider organization in Claxton, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. CHARLES E.KELLY & COMPANY NPI is 1184021347. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tippin Bank & Trust Company.

The provider's business location address is:

409 OAK ST
CLAXTON, GA
ZIP 30417-351
Phone: (912) 739-1122

The provider's authorized official is Charles E Kelly .
The authorized official title is Market Communication Specialist and has the following contact phone number (912) 739-1122.

The enumeration date for this NPI number is 12/3/2014 and was last updated on 12/3/2014.


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
1101YP1600XCounselorPastoralGEORGIANo
2251B00000XCase ManagementGEORGIANo
3251S00000XCommunity/Behavioral HealthGEORGIANo
4305R00000XPreferred Provider OrganizationGEORGIAYes

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
11399374OTHERGEORGIAGATEWAY AUTHORITY

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: 5/5/2024

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