Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Kelly, DO

Individual provider Family Medicine Physician · NPI 1104895267

Charles Kelly, DO is a Family Practice in Fulton, Mississippi. Graduated from West Virginia School of Osteopathic Medicine in 1993, 33 years ago. Practices with North Mississippi Medical Clinics Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
33
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
MS
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Medical Park Dr
Fulton, MS 38843-9001
Phone: (662) 862-5200
Fax: (662) 862-5297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15058 (MS)

Record details

NPI number1104895267
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESMarch 8, 2011
Mailing address1 Medical Park Dr, Fulton, MS 38843-9001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1993 (33 years in practice)
Group practice North Mississippi Medical Clinics Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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