Derek M Kelly
MD | Pediatric Orthopedic | 23+ years Exp
Medicare Enrolled 1458 W Poplar Ave, Suite 100, Collierville
Tennessee, 38017-0630
901-759-3100 901-759-3196
Maps & DirectionsDerek M Kelly is a Collierville, Tennessee based orthopedic surgeon with 23 years of experience in Pediatric Orthopedic. He completed his graduation from University Of Arkansas College Of Medicine in 2002.. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Derek M Kelly is 43223 for Pediatric Orthopedic in Tennessee.
Derek M Kelly has done additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Complete Profile:
Derek M Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Pediatric Orthopedic |
| Credentials: | MD |
| Experience: | 23+ years |
| Medical School Attended: | University Of Arkansas College Of Medicine |
| Graduation Year: | 2002 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1458 W Poplar Ave, Suite 100, Collierville,
Tennessee, 38017-0630 |
| Phone: | 901-759-3100 |
| Fax: | 901-759-3196 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0143394478 |
| Enrollment ID: | I20080805000673 |
| NPI Number: | 1649499971 |
| NPI Enumeration Date: | 25 Apr, 2007 |
| NPI Last Update On: | 07 Oct, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek M Kelly are as mentioned below.
| License Number | Specialization | State | Status | |
| 43223 | Pediatric Orthopedic | Tennessee | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Derek M Kelly is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Campbell Clinic Pc (9638082076) | 120 |
| Campbell Clinic Pc (9638082076) | 120 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Derek M Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 174871001 | Medicaid | Arkansas | |
| 100169565 | Medicaid | Mississippi | |
| 008850343 | Medicaid | Mississippi | |
| 1508536 | Medicaid | Tennessee | |
| 04951036 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1400 S Germantown Rd,
Germantown, Tennessee |
| Zip: | 38138-2205 |
| Phone Number: | 901-759-3100 |
| Fax Number: | 901-759-3196 |
Patients can reach Derek M Kelly at
1458 W Poplar Ave, Suite 100, Collierville, Tennessee or can
call to book an appointment on 901-759-3100.
Comments/ Reviews:
Patients can read all the reviews posted for Derek M Kelly below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Derek M Kelly. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.