Caron Bowen Kelly, NP - Medicare Nurse Practitioner in Dacula, GA

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Caron Bowen Kelly, NP is a medicare enrolled "Nurse Practitioner - Family" in Dacula, Georgia. Her current practice location is 3027 Jim Moore Rd, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 339-0129.

Caron Bowen Kelly is licensed to practice in Georgia (license number RN218152) 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 1578073912.

Contact Information

Caron Bowen Kelly, NP
3027 Jim Moore Rd,
Dacula, GA 30019-1144
(770) 339-0129
Not Available

Map and Direction




Provider's Profile

Full NameCaron Bowen Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location3027 Jim Moore Rd, Dacula, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578073912
  • Provider Enumeration Date: 10/11/2017
  • Last Update Date: 07/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507126711
  • Enrollment ID: I20180208001446

Medical Identifiers

Medical identifiers for Caron Bowen Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578073912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN218152 (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. Caron Bowen Kelly allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186

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. Caron Bowen 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
Caron Bowen Kelly, NP
3027 Jim Moore Rd,
Dacula, GA 30019-1144

Ph: (770) 339-0129		Caron Bowen Kelly, NP
3027 Jim Moore Rd,
Dacula, GA 30019-1144

Ph: (770) 339-0129

Reviews and Comments


Nurse Practitioner Nurses in Dacula, GA

Amelia Hassan, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1234 Bentley Estates Dr, Dacula, GA 30019
Phone: 678-507-7094    
Dr. Richard Onoja, DNP
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Medicare: Medicare Enrolled
Practice Location: 3027 Jim Moore Rd, Dacula, GA 30019
Phone: 866-389-2727    
Mary Agyei Mensah,
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Practice Location: 2953 Amabile Rd, Dacula, GA 30019
Phone: 347-589-5874    
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Practice Location: 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019
Phone: 770-586-0300    Fax: 770-586-0311
Josephine Fatmata Belmoh, FNP
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Practice Location: 505 Dacula Rd, Dacula, GA 30019
Phone: 615-425-4200    
Allisan Faye Meadows, FPN-BC
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Practice Location: 465 Dacula Rd Ste I, Dacula, GA 30019
Phone: 770-822-1922    
Francis Ikechukwu Njoku,
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Medicare: Medicare Enrolled
Practice Location: 2842 Blue Stone Ct, Dacula, GA 30019
Phone: 678-760-8952    

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.