Active NPI
Kelli Michelle Welch, APRN BC
- Family Nurse Practitioner
- Dalton, GA
National Provider Identifier
1033258355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN135303NP
- Practice address
- 2918 E Walnut Ave
Dalton, GA 30721-8724 - Phone
- (706) 529-4600
- Fax
- (706) 529-4633
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN135303NP | GA | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | RN135303 | GA |
Addresses
Primary practice location
2918 E Walnut Ave
Dalton, GA 30721-8724
Mailing address
2918 E Walnut Ave
Dalton, GA 30721-8724
Phone (706) 529-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN135303NP | GA | MD | Family Nurse Practitioner |
| RN135303 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Pediatrics, PC | Current | Accepting new patients | |
| MC Medical LLC | Past | Accepting new patients | |
| Peds Care P.C. | Past | Accepting new patients |
Locations
2918 E Walnut Ave
Dalton, GA 30721
Phone (706) 529-4600
2366 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 841-0150
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Dalton, GA
- NPI 1912224577
-
- General Practice Physician
- Dallas, GA
- NPI 1356907695
-
- Pediatrics Physician
- Dalton, GA
- NPI 1679730717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1033258355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 E WALNUT AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307218724",
"telephone_number": "706-529-4600",
"fax_number": "706-529-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 E WALNUT AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307218724",
"telephone_number": "706-529-4600",
"fax_number": "706-529-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "KELLI",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN135303NP",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN135303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.