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

Mr. Joby Garrard Kelly, CFNP

Individual provider Family Nurse Practitioner · NPI 1629752605

Mr. Joby Garrard Kelly, CFNP is a Nurse Practitioner in Grenada, Mississippi. Qualified in 2023, 3 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
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Practice location Address checks out

700 Sunset Dr
Grenada, MS 38901-4091
Phone: (662) 307-2884
Fax: (662) 307-2887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905988 (MS)

Record details

NPI number1629752605
Entity typeIndividual (Type 1)
GenderMale
Credentials CFNP
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grenada