Kelli Nichole Adams, ACNP - Medicare Nurse Practitioner in Cleveland, GA

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Kelli Nichole Adams, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Cleveland, Georgia. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Georgia Physicians Group Urgent Care Llc, The Emory Clinic, Inc, Gwinnett Physician Group, Llc and her current practice location is 2578 Helen Hwy, Cleveland, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 219-9260.

Kelli Nichole Adams is licensed to practice in Georgia (license number RN164623) 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 1104070457.

Contact Information

Kelli Nichole Adams, ACNP
2578 Helen Hwy,
Cleveland, GA 30528-2848
(770) 219-9260
Not Available

Map and Direction




Provider's Profile

Full NameKelli Nichole Adams
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location2578 Helen Hwy, Cleveland, 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:
  • Kelli Nichole Adams graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1104070457
  • Provider Enumeration Date: 11/13/2008
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264567783
  • Enrollment ID: I20100322000815

Medical Identifiers

Medical identifiers for Kelli Nichole Adams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104070457NPI-NPPES
957403077OMedicaidGA
957403077QMedicaidGA
05953166OtherGAAMERIGROUP
957403077PMedicaidGA
957403077RMedicaidGA
957403077AEMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 164623 (Georgia)Secondary
363LA2100XNurse Practitioner - Acute Care RN164623 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital GwinnettLawrenceville, GAHospital
Emory Decatur HospitalDecatur, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Georgia Physicians Group Urgent Care Llc327453568767
The Emory Clinic, Inc88209014082729
Gwinnett Physician Group, Llc913321113989

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. Kelli Nichole Adams 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 NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NameThe Longstreet Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326019977
PECOS PAC ID: 2668465733
Enrollment ID: O20040405001521
Entity NameNortheast Georgia Physicians Group Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790875037
PECOS PAC ID: 3274535687
Enrollment ID: O20070214000012
Entity NameGwinnett Physician Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578574661
PECOS PAC ID: 9133211139
Enrollment ID: O20070822001035
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
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
Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117
Entity NameSound Physicians Intensivists Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159590
PECOS PAC ID: 5193138634
Enrollment ID: O20201230001915

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. Kelli Nichole Adams 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
Kelli Nichole Adams, ACNP
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420		Kelli Nichole Adams, ACNP
2578 Helen Hwy,
Cleveland, GA 30528-2848

Ph: (770) 219-9260

Reviews and Comments


Nurse Practitioner Nurses in Cleveland, GA

Heather Michele Jones, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 17 White St, Cleveland, GA 30528
Phone: 706-969-7510    
Andrew Stow, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2578 Helen Hwy, Cleveland, GA 30528
Phone: 770-219-9260    
Sharon Melissa Shaw, NP-C
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Practice Location: 72 Peaceful Valley Dr, Cleveland, GA 30528
Phone: 678-313-1023    
Melissa Pruitt, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 17 White St, Cleveland, GA 30528
Phone: 706-969-7510    
Jane Nix Allen, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2578 Helen Hwy, Cleveland, GA 30528
Phone: 706-348-4280    
Tina G. Campbell,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2578 Helen Hwy, Cleveland, GA 30528
Phone: 706-865-1234    

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.