Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Derek M Kelly, MD

Pediatric Orthopaedic Surgery Physician in Collierville, TN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649499971

Verified

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Registry record

Entity type Individual (Type 1)

Name Derek M Kelly

Credential MD

Sex Male

Practice address 1458 W Poplar Ave, Suite 100, Collierville, TN, 38017

Phone (901) 759-3100

Fax (901) 759-3196

Enumeration date Apr 25, 2007

Last updated in NPPES Oct 7, 2022

Taxonomy & licenses

207XP3100X Pediatric Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 43223 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
174871001	Medicaid	AR	-
100169565	Medicaid	MS	-
008850343	Medicaid	MS	-
1508536	Medicaid	TN	-
04951036	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Derek Kelly?

Derek Kelly is registered in NPPES with the primary taxonomy of Pediatric Orthopaedic Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-07.