Tricia Ellen Moga Kellum, NP - Nurse Practitioner in Martinez, GA

Tricia Ellen Moga Kellum, NP is a Nurse Practitioner - Psychiatric/mental Health based in Martinez, Georgia. Tricia Ellen Moga Kellum is licensed to practice in Georgia (license number 287482) and her current practice location is 519 Blackburn Dr Ste 523, Martinez, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 524-7134.

NPI number for Tricia Ellen Moga Kellum is 1700506565 and her current mailing address is 519 Blackburn Dr Ste 523, Martinez, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700506565.

Contact Information

Tricia Ellen Moga Kellum, NP
519 Blackburn Dr Ste 523,
Martinez, GA 30907-8202
(706) 524-7134
Not Available

Map and Direction




Provider's Profile

Full NameTricia Ellen Moga Kellum
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location519 Blackburn Dr Ste 523, Martinez, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700506565
  • Provider Enumeration Date: 08/31/2022
  • Last Update Date: 11/07/2024

Medical Identifiers

Medical identifiers for Tricia Ellen Moga Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700506565NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 287482 (Georgia)Primary
163W00000XRegistered Nurse 61240711 (Washington)Secondary
163W00000XRegistered Nurse 287482 (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. Tricia Ellen Moga Kellum 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 AddressPractice Location Address
Tricia Ellen Moga Kellum, NP
519 Blackburn Dr Ste 523,
Martinez, GA 30907-8202

Ph: (313) 463-0399
Tricia Ellen Moga Kellum, NP
519 Blackburn Dr Ste 523,
Martinez, GA 30907-8202

Ph: (706) 524-7134

Reviews and Comments


Nurse Practitioner Nurses in Martinez, GA

Sara Lynn Williams, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 211 Bobby Jones Expy Ste D, Martinez, GA 30907
Phone: 706-860-3355    Fax: 706-860-8765
Mrs. Kimberly A Delaigle, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907
Phone: 706-447-2461    Fax: 706-447-2465
Dr. Jennifer Logan, DNP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 519 Blackburn Dr Ste 523, Martinez, GA 30907
Phone: 706-524-7134    
Mrs. Sara J King,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4106 Columbia Rd Ste 103, Martinez, GA 30907
Phone: 706-863-1440    Fax: 706-863-5418
Shannon Leigh Whitwell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 W Lake Commons Dr, Martinez, GA 30907
Phone: 706-228-2565    Fax: 706-868-1405
Ashley Atkinson, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 W Lake Commons Dr, Martinez, GA 30907
Phone: 706-228-2565    Fax: 706-868-1405
Lisa Ann Patton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 W Lake Commons Dr, Martinez, GA 30907
Phone: 706-250-6919    Fax: 706-250-7232

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.