| Robert O Kelly, MD | |
|
3931 Mundy Mill Rd., Oakwood, GA 30566 | |
| (770) 503-1481 | |
| (770) 503-1520 |
| Full Name | Robert O Kelly |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 3931 Mundy Mill Rd., Oakwood, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386619526 | NPI | - | NPPES |
| 034384 | Other | GA | MED LIC NUMBER |
| 11D0898435 | Other | GA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34384 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Georgia Physicians Group Urgent Care Llc | 3274535687 | 68 |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Entity Name | Northeast Georgia Physicians Group Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790875037 PECOS PAC ID: 3274535687 Enrollment ID: O20070214000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert O Kelly, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Robert O Kelly, MD 3931 Mundy Mill Rd., Oakwood, GA 30566 Ph: (770) 503-1481 |
Sahithi S Sangapu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3931 Mundy Mill Rd, Suite A, Oakwood, GA 30566 Phone: 770-848-9100 Fax: 770-848-9101 | |
Marti Renee Gibbs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Dr. Tawanna J Strauther, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3931 Mundy Mill Rd, Suite A, Oakwood, GA 30566 Phone: 770-848-9100 Fax: 770-848-9101 | |
Farhad M Yazdi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4205 Mundy Mill Pl, Suite 1, Oakwood, GA 30566 Phone: 770-287-1140 Fax: 770-534-2700 | |
Dr. Kelly Nicole O'dell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6050 | |
Ms. Kommerina Daling, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-535-7915 |