| Kelli Hardin, APRN | |
|
684 Sixes Rd Ste 125a, Holly Springs, GA 30115-8758 | |
| (678) 426-5450 | |
| (678) 426-5454 |
| Full Name | Kelli Hardin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 684 Sixes Rd Ste 125a, Holly Springs, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851784656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN220318 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN220318 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Urgent Care Holding Llc | 4587984695 | 62 |
| Twelvestone Infusion Centers Llc | 6800151424 | 51 |
| Entity Name | Northside Urgent Care Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795 |
| Entity Name | Twelvestone Infusion Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447764857 PECOS PAC ID: 6800151424 Enrollment ID: O20201006002539 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Hardin, APRN 185 Swanee Ln, Woodstock, GA 30188-2497 Ph: () - | Kelli Hardin, APRN 684 Sixes Rd Ste 125a, Holly Springs, GA 30115-8758 Ph: (678) 426-5450 |
Mary Blalock, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Lake Reserve Way, Holly Springs, GA 30115 Phone: 770-354-0471 | |
Lora Eve Lyon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Wellstar Way Ste 105, Holly Springs, GA 30114 Phone: 678-494-2500 Fax: 678-494-2629 | |
Mindy Bishop Joyner, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Wellstar Way Ste 201, Holly Springs, GA 30114 Phone: 470-267-0152 | |
Stacey Collene Cox, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115 Phone: 770-720-2221 Fax: 770-720-2282 | |
Bethany Ellen Kinsey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 Wellstar Way Ste 204, Holly Springs, GA 30114 Phone: 470-267-0135 Fax: 770-999-2631 | |
Sherene Good, RN, CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115 Phone: 770-720-2221 Fax: 770-720-2282 | |
Mrs. Hannah Van Weele, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 684 Sixes Rd Ste 130, Holly Springs, GA 30115 Phone: 678-388-5485 Fax: 678-388-5489 |