David Kelly, NP-C | |
101 Fornum Dr, Grovetown, GA 30813-2697 | |
(706) 434-3500 | |
Not Available |
Full Name | David Kelly |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 101 Fornum Dr, Grovetown, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558714238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN201485 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Emergency Medicine Billing Services, Llc | 3072823186 | 45 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Au Medical Associates Emergency Medicine Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458 |
Mailing Address | Practice Location Address |
---|---|
David Kelly, NP-C 101 Fornum Dr, Grovetown, GA 30813-2697 Ph: (706) 434-3500 | David Kelly, NP-C 101 Fornum Dr, Grovetown, GA 30813-2697 Ph: (706) 434-3500 |
Ms. Shnita Gregory Wiley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 Porter Ln, Grovetown, GA 30813 Phone: 706-399-9624 | |
Nataly Agabin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 | |
Kimberly Crew Dunn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6236 Freedom Cir, Grovetown, GA 30813 Phone: 706-401-9115 | |
Hannah Funmilayo Lawal Adeniji, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 479 Sebastian Dr, Grovetown, GA 30813 Phone: 705-373-0094 | |
Ashley Turman Sabb, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1424 Calumet Dr, Grovetown, GA 30813 Phone: 706-699-1533 | |
Amber Jillian Mccall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1433 Sawmill Trl, Grovetown, GA 30813 Phone: 706-550-2144 | |
Desiree Mock, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 443 Carole Dr, Grovetown, GA 30813 Phone: 706-541-1131 |