OrganizationActive
Charles E.kelly & Company
NPI 1184021347 · Preferred Provider Organization · Claxton, GA
Provider details
- NPI number
- 1184021347
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Parent organization
- Glenville Bank
- Organization subpart
- Yes
- Authorized official
- Charles Kelly, Market Communication Specialist(912) 739-1122
Specialties & taxonomies
Managed Care Organizations
- Pastoral Counselor101YP1600X
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
409 Oak St
Claxton, GA 30417-1351
Phone: (912) 739-1122
Approximate (ZIP-level) locationGet directions
Mailing address
409 Oak St
Claxton, GA 30417-1351
Other names (DBA / former)
- Doing business as
- Tippin Bank & Trust Company
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.