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Export Provider Record NPI 1063592558
Timothy P KellyD.C.
Active
NPI Number1063592558
NPI TypeNPI-1 Individual
SpecialtyChiropractor
Provider Details
NPI1063592558
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-10-17
Last Updated2007-07-08
Mailing Address3098 Piedmont Rd Ne Ste 430
Atlanta, GA 30305-2600
United States
Phone: (404) 477-1589
📍 View Map
Primary Practice Address3098 Piedmont Rd Ne Ste 430
Atlanta, GA 30305-2600
United States
Phone: (404) 477-1589
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)GA581926737Fed ID #
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes111N00000X – ChiropractorGACHIR002569
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About NPI 1063592558

Timothy P Kelly D.C. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063592558. The primary specialty listed is Chiropractor. The provider is located in Atlanta, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063592558?

NPI 1063592558 belongs to Timothy P Kelly D.C., a Chiropractor in Atlanta, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063592558 active?

The current status of NPI 1063592558 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1063592558?

NPI 1063592558 is classified under the taxonomy Chiropractor. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063592558?

You can verify NPI 1063592558 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063592558?

The primary practice address on file for NPI 1063592558 is 3098 Piedmont Rd Ne Ste 430, Atlanta, GA 30305-2600. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063592558 issued?

NPI 1063592558 was first issued (enumerated) on 2006-10-17. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Timothy P Kelly is located at 3098 Piedmont Rd Ne Ste 430, Atlanta, GA. Use the map below to find directions or verify the practice location.

📍 3098 Piedmont Rd Ne Ste 430, Atlanta, GA 30305-2600  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Timothy P Kelly. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063592558. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
ChiropractorCHIR002569GA
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162