Mrs Kelly Brumbelow Nix, FNP, BC | |
145 N Medical Pkwy, Woodstock, GA 30189 | |
(770) 592-3000 | |
(770) 999-2650 |
Full Name | Mrs Kelly Brumbelow Nix |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 145 N Medical Pkwy, Woodstock, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386659928 | NPI | - | NPPES |
316257111A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 112048 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN112048 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Brumbelow Nix, FNP, BC 145 N Medical Pkwy, Woodstock, GA 30189-7031 Ph: () - | Mrs Kelly Brumbelow Nix, FNP, BC 145 N Medical Pkwy, Woodstock, GA 30189 Ph: (770) 592-3000 |
David Patton, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 730 Kipling Trl, Woodstock, GA 30189 Phone: 502-301-4704 | |
Mrs. Cristin Cay Chester, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Towne Lake Pkwy, Woodstock, GA 30189 Phone: 770-517-1022 | |
Samantha Pruitt, PMHNP-BC, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 228 Creekstone Rdg, Woodstock, GA 30188 Phone: 404-421-2089 | |
Frances Early, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Creekstone Rdg, Woodstock, GA 30188 Phone: 404-817-9994 | |
Mrs. Tran B. Trivedi, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Gold Creek Trl, Suite 200, Woodstock, GA 30188 Phone: 770-771-5600 | |
Taylor Moody, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 587 S Club Dr, Woodstock, GA 30188 Phone: 770-654-1462 | |
Martha Jo Holsomback, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7545 Main St, Woodstock, GA 30188 Phone: 770-928-0133 Fax: 770-928-1663 |