Kelley Harrelson, RN, FNP - Medicare Nurse Practitioner in Lawrenceville, GA

Kelley Harrelson, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Surgical Professional Services Llc, Northside Primary Care Professional Services,llc and her current practice location is 759 Old Norcross Rd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 442-3121.

Kelley Harrelson is licensed to practice in Georgia (license number RN170755) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528428471.

Contact Information

Kelley Harrelson, RN, FNP
759 Old Norcross Rd,
Lawrenceville, GA 30046-4317
(678) 442-3121
(678) 376-4045

Map and Direction




Provider's Profile

Full NameKelley Harrelson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location759 Old Norcross Rd, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelley Harrelson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1528428471
  • Provider Enumeration Date: 03/03/2016
  • Last Update Date: 03/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779871785
  • Enrollment ID: I20161006001891

Medical Identifiers

Medical identifiers for Kelley Harrelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528428471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN170755 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital GwinnettLawrenceville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Surgical Professional Services Llc8628253424272
Northside Primary Care Professional Services,llc9638343924266

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. Kelley Harrelson allows following entities to bill medicare on her behalf.
Entity NameNorthside Surgical Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206

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. Kelley Harrelson 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
Kelley Harrelson, RN, FNP
980 Johnson Ferry Rd, Ste 910,
Atlanta, GA 30342-1626

Ph: (404) 303-3750
Kelley Harrelson, RN, FNP
759 Old Norcross Rd,
Lawrenceville, GA 30046-4317

Ph: (678) 442-3121

Reviews and Comments


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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.