Mrs Kelly Brogdon White, MS, OTR/L in Johns Creek, GA - Medicare Occupational Therapist In Private Practice Provider

Mrs Kelly Brogdon White, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Johns Creek, Georgia. She went to Tufts University School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is 3005 Old Alabama Rd Bldg E, Johns Creek, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 552-8852.

Mrs Kelly Brogdon White is licensed to practice in Georgia (license number OT003451) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1639064025.

Contact Information

	Mrs Kelly Brogdon White, MS, OTR/L
	3005 Old Alabama Rd Bldg E, Johns Creek, GA 30022-8594
	(770) 552-8852
	(770) 552-8481

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Brogdon White
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	24 Years
Location	3005 Old Alabama Rd Bldg E, Johns Creek, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Brogdon White attended and graduated from Tufts University School Of Medicine in 2001

NPI Data:

NPI Number: 1639064025
Provider Enumeration Date: 06/09/2025
Last Update Date: 06/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3678086451
Enrollment ID: I20250703001584

Medical Identifiers

Medical identifiers for Mrs Kelly Brogdon White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639064025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT003451 (Georgia)	Primary

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. Mrs Kelly Brogdon White 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 Address	Practice Location Address
Mrs Kelly Brogdon White, MS, OTR/L 10315 Autry Pl, Johns Creek, GA 30022-5301 Ph: (404) 993-5513	Mrs Kelly Brogdon White, MS, OTR/L 3005 Old Alabama Rd Bldg E, Johns Creek, GA 30022-8594 Ph: (770) 552-8852

Reviews and Comments

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Mrs Kelly Brogdon White, MS, OTR/L - Medicare Occupational Therapist in Johns Creek, GA