Ms Sandra K Kelley, CRNP | |
1900 10th Ave, Suite 200, Columbus, GA 31901-3600 | |
(706) 653-8556 | |
(706) 653-9778 |
Full Name | Ms Sandra K Kelley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 1900 10th Ave, Columbus, 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 |
---|---|---|---|
1699731679 | NPI | - | NPPES |
515-30502 | Other | AL | BLUE CROSS OF AL PROV # |
891010421 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-081115 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN067940 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbus Ambulatory Healthcare Services, Inc. | 1355244385 | 98 |
Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790 |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra K Kelley, CRNP Po Box 1038, Columbus, GA 31902-1038 Ph: (706) 653-8556 | Ms Sandra K Kelley, CRNP 1900 10th Ave, Suite 200, Columbus, GA 31901-3600 Ph: (706) 653-8556 |
Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699 | |
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580 | |
Ms. April Allen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909 Phone: 706-536-4775 | |
Brandi Michelle Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Whittlesey Blvd Ste A, Columbus, GA 31909 Phone: 706-321-0476 | |
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904 | |
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 | |
Mrs. Crystal Berry, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973 |