| David Kelly, NP-C | |
|
101 Fornum Dr, Grovetown, GA 30813-2697 | |
| (706) 434-3500 | |
| Not Available |
| Full Name | David Kelly |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 101 Fornum Dr, Grovetown, 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 |
|---|---|---|---|
| 1558714238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN201485 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Au Medical Associates Emergency Medicine Billing Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458 |
| Mailing Address | Practice 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 |
Ms. Shnita Gregory Wiley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 Porter Ln, Grovetown, GA 30813 Phone: 706-399-9624 | |
Nataly Agabin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 | |
Kimberly Crew Dunn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6236 Freedom Cir, Grovetown, GA 30813 Phone: 706-401-9115 | |
Hannah Funmilayo Lawal Adeniji, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 479 Sebastian Dr, Grovetown, GA 30813 Phone: 705-373-0094 | |
Ashley Turman Sabb, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1424 Calumet Dr, Grovetown, GA 30813 Phone: 706-699-1533 | |
Amber Jillian Mccall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1433 Sawmill Trl, Grovetown, GA 30813 Phone: 706-550-2144 | |
Ms. Desiree Mock, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 443 Carole Dr, Grovetown, GA 30813 Phone: 706-541-1131 |