Individual provider Active NPI

Kelsey Reba Marie Morkem, PA-C

  • Physician Assistant
  • Gainesville, GA
National Provider Identifier
1043977986
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10763 Issued in GA
Practice address
303 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3713
Phone
(770) 532-4477
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10763 GA Primary

Addresses

Primary practice location

303 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3713

Mailing address

150 Northside Dawson Dr
Dawsonville, GA 30534-7696
Phone (706) 216-4444

Other practice location 1

150 Northside Dawson Dr
Dawsonville, GA 30534-7696
Phone (706) 216-4444

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

LicenseStateTypeSpecialty
10763GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nabil Keith MD LLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

150 Northside Dawson Dr
Dawsonville, GA 30534
Phone (706) 216-4444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEIBCD/Endpoint/HEIBCD

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1043977986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NORTHSIDE DAWSON DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347696",
            "telephone_number": "706-216-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013713",
            "telephone_number": "770-532-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Northside Dawson Dr",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305347696",
            "country_code": "US",
            "telephone_number": "706-216-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORKEM",
        "first_name": "KELSEY",
        "middle_name": "REBA MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.