Ms Carroll Marie Kelly, RN is a
Mechanotherapist based in Evans, Georgia. Ms Carroll Marie Kelly is licensed to practice in Georgia (license number RN113796) and her current practice location is
321 Washington Commons Dr, Evans, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 231-5552.
NPI number for Ms Carroll Marie Kelly is 1780081661 and her current mailing address is 1801 Maryland Ave, Augusta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780081661.
Provider's Profile
Full Name | Ms Carroll Marie Kelly |
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Gender | Female |
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Speciality | Mechanotherapist |
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Location | 321 Washington Commons Dr, Evans, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780081661
- Provider Enumeration Date: 11/20/2014
- Last Update Date: 11/20/2014
Medical Identifiers
Medical identifiers for Ms Carroll Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780081661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN113796 (Georgia) | Secondary |
172M00000X | Mechanotherapist | RN113796 (Georgia) | Primary |
174H00000X | Health Educator | RN113796 (Georgia) | Secondary |
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. Ms Carroll Marie Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Carroll Marie Kelly, RN 1801 Maryland Ave, Augusta, GA 30904-5316 Ph: (706) 231-5552 | Ms Carroll Marie Kelly, RN 321 Washington Commons Dr, Evans, GA 30809-3170 Ph: (706) 231-5552 |
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