Active NPI
Kelli Christie
- Specialist
- Alpharetta, GA
National Provider Identifier
1033369558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- COSA035087
- Practice address
- 131 S Main St
Suite C
Alpharetta, GA 30009-7913 - Phone
- (770) 827-2100
- Fax
- (770) 772-0211
- NPI assigned
- Sep 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | COSA035087 | GA | Primary |
Addresses
Primary practice location
131 S Main St
Suite C
Alpharetta, GA 30009-7913
Mailing address
131 S Main St
Suite C
Alpharetta, GA 30009-7913
Phone (770) 827-2100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COSA035087 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221868800000",
"number": "1033369558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 S MAIN ST",
"address_2": "SUITE C",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097913",
"telephone_number": "770-827-2100",
"fax_number": "770-772-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 S MAIN ST",
"address_2": "SUITE C",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097913",
"telephone_number": "770-827-2100",
"fax_number": "770-772-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-20",
"last_updated": "2008-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "COSA035087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.