| Kelli Kennedy, FNP | |
|
4 Live Oak Ct, Moultrie, GA 31768-6783 | |
| (229) 785-2400 | |
| Not Available |
| Full Name | Kelli Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 4 Live Oak Ct, Moultrie, 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 |
|---|---|---|---|
| 1710567854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN244596 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amgir, Inc. | 6406127612 | 8 |
| Entity Name | John D. Archbold Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
| Entity Name | Amgir, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538693197 PECOS PAC ID: 6406127612 Enrollment ID: O20170807002109 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Kennedy, FNP Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131 | Kelli Kennedy, FNP 4 Live Oak Ct, Moultrie, GA 31768-6783 Ph: (229) 785-2400 |
Addie B Gay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 358 Veterans Pkwy N, Moultrie, GA 31788 Phone: 229-891-3513 Fax: 229-890-1986 | |
Courtney Oakes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Laurel Ct, Moultrie, GA 31768 Phone: 229-891-9016 | |
Phyllis Hughes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-985-1080 | |
Mary Ann Anderson-parris, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788 Phone: 229-985-4815 | |
Sabrina Griffin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 143 Us Highway 319 S Ste 1, Moultrie, GA 31768 Phone: 229-217-0523 | |
Ms. Vernita S Shipp, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 358 Veterans Pkwy N, Moultrie, GA 31788 Phone: 229-891-3513 Fax: 229-890-1986 | |
April Monika Washington, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 2nd Ave Sw, Moultrie, GA 31768 Phone: 229-891-7374 Fax: 229-891-7163 |