Roderick Kelly, PA

Physician assistant in Anson, Texas · NPI 1275637472

Roderick Kelly is the only physician assistant we list in Anson, Texas. See all physician assistants in Texas. Roderick Kelly practices with Concord Medical Group Of Texas PLLC and Concord Medical Group PLLC.

Registry record (NPPES)

NPI: 1275637472
Type: Type 1 · Individual
Primary taxonomy: Physician Assistant · 363A00000X
Address on file: 1585 3rd St
Fort Polk, LA 71459-5102
(337) 531-3011
Enumerated: Sep 11, 2006
Record last updated: Sep 16, 2025
License states listed: LA, TX

Medicare (CMS)

Enrollment: Medicare-enrolled in LA, NE, NM, TX
Physician Assistant
Revalidation due: No date set by CMS

The registry stops here. NPivot keeps going.

Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

See the full profile free Free account. No card, no call.

Practice locations

101 Ave J
Anson, TX 79501
(325) 823-3231
520 E 6th St
Odessa, TX 79761
(888) 264-0330

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.