David Kelly, NP-C - Medicare Nurse Practitioner in Grovetown, GA

David Kelly, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Grovetown, Georgia. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Au Medical Associates Emergency Medicine Billing Services, Llc and his current practice location is 101 Fornum Dr, Grovetown, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 434-3500.

David Kelly is licensed to practice in Georgia (license number RN201485) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558714238.

Contact Information

David Kelly, NP-C
101 Fornum Dr,
Grovetown, GA 30813-2697
(706) 434-3500
Not Available

Map and Direction




Provider's Profile

Full NameDavid Kelly
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location101 Fornum Dr, Grovetown, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Kelly graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1558714238
  • Provider Enumeration Date: 07/19/2016
  • Last Update Date: 07/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981971595
  • Enrollment ID: I20170602001527

Medical Identifiers

Medical identifiers for David Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558714238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN201485 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Au Medical Associates Emergency Medicine Billing Services, Llc307282318645

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Kelly allows following entities to bill medicare on his behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameAu Medical Associates Emergency Medicine Billing Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982089777
PECOS PAC ID: 3072823186
Enrollment ID: O20151102001458

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Kelly, NP-C
101 Fornum Dr,
Grovetown, GA 30813-2697

Ph: (706) 434-3500
David Kelly, NP-C
101 Fornum Dr,
Grovetown, GA 30813-2697

Ph: (706) 434-3500

Reviews and Comments


Nurse Practitioner Nurses in Grovetown, GA

Ms. Shnita Gregory Wiley, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 714 Porter Ln, Grovetown, GA 30813
Phone: 706-399-9624    
Nataly Agabin, NP-C
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Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813
Phone: 706-922-1600    
Jennifer Lynn Logan, DNP, PMHNP
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Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813
Phone: 706-432-6866    
Kimberly Crew Dunn, FNP-BC
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Practice Location: 6236 Freedom Cir, Grovetown, GA 30813
Phone: 706-401-9115    
Hannah Funmilayo Lawal Adeniji,
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Medicare: Medicare Enrolled
Practice Location: 479 Sebastian Dr, Grovetown, GA 30813
Phone: 705-373-0094    
Mrs. Shawna Cox Laporte, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 307 Frick Ln, Grovetown, GA 30813
Phone: 731-636-1513    
Ashley Turman Sabb,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1424 Calumet Dr, Grovetown, GA 30813
Phone: 706-699-1533    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.