| Kelli Nichole Adams, ACNP | |
|
2578 Helen Hwy, Cleveland, GA 30528-2848 | |
| (770) 219-9260 | |
| Not Available |
| Full Name | Kelli Nichole Adams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 2578 Helen Hwy, Cleveland, 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 |
|---|---|---|---|
| 1104070457 | NPI | - | NPPES |
| 957403077AE | Medicaid | GA | |
| 05953166 | Other | GA | AMERIGROUP |
| 957403077P | Medicaid | GA | |
| 957403077O | Medicaid | GA | |
| 957403077Q | Medicaid | GA | |
| 957403077R | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 164623 (Georgia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | RN164623 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| St Lukes Hospital | Columbus, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3084 |
| Gwinnett Physician Group, Llc | 9133211139 | 99 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| 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 | The Longstreet Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Entity Name | City Of Hope Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Entity Name | Sound Physicians Intensivists Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159590 PECOS PAC ID: 5193138634 Enrollment ID: O20201230001915 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Nichole Adams, ACNP Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Kelli Nichole Adams, ACNP 2578 Helen Hwy, Cleveland, GA 30528-2848 Ph: (770) 219-9260 |
Heather Michele Jones, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 White St, Cleveland, GA 30528 Phone: 706-969-7510 | |
Andrew Stow, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2578 Helen Hwy, Cleveland, GA 30528 Phone: 770-219-9260 | |
Sharon Melissa Shaw, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 72 Peaceful Valley Dr, Cleveland, GA 30528 Phone: 678-313-1023 | |
April Leighanne Beck, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2578 Helen Hwy, Cleveland, GA 30528 Phone: 770-219-9100 Fax: 706-865-7265 | |
Melissa Pruitt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 White St, Cleveland, GA 30528 Phone: 706-969-7510 | |
Jane Nix Allen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2578 Helen Hwy, Cleveland, GA 30528 Phone: 706-348-4280 |