Kelly Quiana Talbert Thaggard, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN256952 Issued in GA

Practice address

3872 Highway 5
Douglasville, GA 30135-3366

Phone

(770) 949-5535

Fax

(770) 949-9022

NPI assigned

Dec 15, 2022

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CH Specialty Services Ga LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1306545181
  Medicare reassignment NPD
• Curana Health of Georgia LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1043605314

  Family

  Medicare reassignment NPD
• Curana Health Medical Group LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1255640678

  GA

  Medicare reassignment NPD
• Douglas County Family Practice, P.C.

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1083769376
  NPD
• Douglas County Family Practice, P.C.

  dba Mariam George, M.D.

  • Primary Care Clinic/Center
  • Douglasville, GA
  • NPI 1013918671
  NPD (past)

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1063124634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353366",
            "telephone_number": "770-949-5535",
            "fax_number": "770-949-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353366",
            "telephone_number": "770-949-5535",
            "fax_number": "770-949-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT THAGGARD",
        "first_name": "KELLY",
        "middle_name": "QUIANA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN256952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Radiology, LLC (American Health Imaging of Douglasville, LLC)
• T E a M Medical LLC
• Ting Tai
• Taijah Bell Therapy Group
• Hironobu Takeda, DO
• Talk4Me,LLC (Shai Lyn Menina)
• Nancy Barrett Tallant
• Kristti Lei Birondo Tan, AGNP-BC
• Teresa M Tard
• Arnold Ricardo Taylor, PHARMD

• Family Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.