Kelli Anderson
Medical Specialty
Professional ID
- NPI: 1649610395
- PECOS ID: 4981838877
- Enrollment ID: I20131008001566
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 010001
- Business Name (LBN)1: Southeast Alabama Medical Center
- Hospital CCN2: 010007
- Business Name (LBN)2: Mizell Memorial Hospital
- Hospital CCN3: 010126
- Business Name (LBN)3: Troy Regional Medical Center
- Hospital CCN4: 010049
- Business Name (LBN)4: Medical Center Enterprise
- Hospital CCN5: 010021
- Business Name (LBN)5: Dale Medical Center
Medical Practices
- Organization Name: Southeast Cardiology Clinic Inc.
- Group Practice ID assigned by PECOS: 9234111899
- Number of Group Practice member: 7
Location
- Address1: 1001 N Main St
- Address2:
- City: Opp
- State: Alabama
- Zip Code: 36467
- Phone Number: (334)493-3541
Location
- Address1: 1146 Ross Clark Cir
- Address2:
- City: Dothan
- State: Alabama
- Zip Code: 36301
- Phone Number: (334)712-1929
Location
- Address1: 218 Hospital Ave
- Address2: Suite D
- City: Ozark
- State: Alabama
- Zip Code: 36360
- Phone Number: (334)712-1929
Medical Practices
- Organization Name: Houston County Healthcare Authority
- Group Practice ID assigned by PECOS: 9436062296
- Number of Group Practice member: 182
Location
- Address1: 1245 Westgate Pkwy
- Address2:
- City: Dothan
- State: Alabama
- Zip Code: 36303
- Phone Number: (334)793-9595
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):