Kelly Diane Mccarley, - Medicare Nurse Practitioner in Blakely, GA

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Kelly Diane Mccarley, is a medicare enrolled "Nurse Practitioner - Gerontology" in Blakely, Georgia. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Phoebe Physician Group Inc, The Hospital Authority Of Miller County and her current practice location is 1908 Tarver Dr, Blakely, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 308-0460.

Kelly Diane Mccarley is licensed to practice in Georgia (license number RN219753) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649753773.

Contact Information

Kelly Diane Mccarley,
1908 Tarver Dr,
Blakely, GA 39823-1540
(229) 308-0460
Not Available

Map and Direction




Provider's Profile

Full NameKelly Diane Mccarley
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1908 Tarver Dr, Blakely, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Diane Mccarley graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1649753773
  • Provider Enumeration Date: 09/14/2018
  • Last Update Date: 09/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6305190026
  • Enrollment ID: I20181116000190

Medical Identifiers

Medical identifiers for Kelly Diane Mccarley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649753773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN219753 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoebe Putney Memorial HospitalAlbany, GAHospital
Phoebe Sumter Medical CenterAmericus, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoebe Physician Group Inc8426112350439
The Hospital Authority Of Miller County024422494730

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Diane Mccarley allows following entities to bill medicare on her behalf.
Entity NameThe Hospital Authority Of Miller County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710105119
PECOS PAC ID: 0244224947
Enrollment ID: O20040414000857
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Diane Mccarley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Diane Mccarley,
1908 Tarver Dr,
Blakely, GA 39823-1540

Ph: (229) 308-0460		Kelly Diane Mccarley,
1908 Tarver Dr,
Blakely, GA 39823-1540

Ph: (229) 308-0460

Reviews and Comments


Nurse Practitioner Nurses in Blakely, GA

Jessica Price Vinson, FNP
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Phone: 229-723-2660    Fax: 229-723-2663
Tabaitha Dawn Williams,
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Practice Location: 11045 Columbia St, Blakely, GA 39823
Phone: 229-723-4313    Fax: 229-723-3734
Lakeisha Cannon-scott, APRN, PMHNP
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Mary Madeline Shattles, NP
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Phone: 229-308-8857    
Ms. Aretha Tinson, NP-C
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Medicare: Medicare Enrolled
Practice Location: 360 College St, Blakely, GA 39823
Phone: 229-723-2660    Fax: 229-723-2663
Allison Josey, ARNP
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Medicare: Medicare Enrolled
Practice Location: 360 College St, Blakely, GA 39823
Phone: 229-723-2660    Fax: 229-723-2663
Chandra Levatte,
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Practice Location: 711 Chancey Mill Rd, Blakely, GA 39823
Phone: 229-308-5203    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.