Michele Poole Kelly, CNM - Medicare Advanced Practice Midwife in Gainesville, GA

Michele Poole Kelly, CNM is a medicare enrolled "Advanced Practice Midwife" in Gainesville, Georgia. Her current practice location is 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 219-9445.

Michele Poole Kelly is licensed to practice in Georgia (license number RN093663) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346596921.

Contact Information

Michele Poole Kelly, CNM
1439 Jesse Jewell Pkwy Ne Ste 102,
Gainesville, GA 30501-3806
(770) 219-9445
Not Available

Map and Direction




Provider's Profile

Full NameMichele Poole Kelly
GenderFemale
SpecialityAdvanced Practice Midwife
Location1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346596921
  • Provider Enumeration Date: 08/01/2012
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406803535
  • Enrollment ID: I20050331001172

Medical Identifiers

Medical identifiers for Michele Poole Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346596921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife RN093663 (Georgia)Primary

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. Michele Poole Kelly allows following entities to bill medicare on her behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277

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. Michele Poole Kelly 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
Michele Poole Kelly, CNM
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420
Michele Poole Kelly, CNM
1439 Jesse Jewell Pkwy Ne Ste 102,
Gainesville, GA 30501-3806

Ph: (770) 219-9445

Reviews and Comments


Advanced Practice Midwife Nurses in Gainesville, GA

Vivian Clare Gradin, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 725 Jesse Jewell Pkwy Se, Suite 200, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Amanda Turner Driskell, RN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Ruth Sherry, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Destiny D Gilder, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Diane S Tandy, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1285 Sims St, Gainesville, GA 30501
Phone: 770-536-0149    Fax: 770-536-0317
Sally A. Monroe, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Kimberly Patton Blasingame, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139

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.