| Ms Sandra K Kelley, CRNP | |
|
1900 10th Ave, Suite 200, Columbus, GA 31901-3600 | |
| (706) 653-8556 | |
| (706) 653-9778 |
| Full Name | Ms Sandra K Kelley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 1900 10th Ave, Columbus, 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 |
|---|---|---|---|
| 1699731679 | NPI | - | NPPES |
| 515-30502 | Other | AL | BLUE CROSS OF AL PROV # |
| 891010421 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-081115 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN067940 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Ambulatory Healthcare Services, Inc. | 1355244385 | 157 |
| Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sandra K Kelley, CRNP Po Box 1038, Columbus, GA 31902-1038 Ph: (706) 653-8556 | Ms Sandra K Kelley, CRNP 1900 10th Ave, Suite 200, Columbus, GA 31901-3600 Ph: (706) 653-8556 |
Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699 |
Mrs. Leigh Ann Youngblood - West, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 |
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580 |
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904 |
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 |
Mrs. Crystal Berry, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973 |
Courtney Natasha Jones, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Brookstone Centre Pkwy Ste 226, Columbus, GA 31904 Phone: 706-653-2889 Fax: 706-494-8220 |