Kelsey Miller Dyes, CPNP-AC/PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN235412 Issued in GA

Practice address

1062 Forsyth St Ste 3a
Macon, GA 31201-8640

Phone

(404) 256-2593

NPI assigned

Jun 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Childrens Healthcare of Atlanta Cardiology Inc

  dba Children's Cardiology

  • Pediatric Cardiology Physician
  • Atlanta, GA
  • NPI 1235148727
  NPD (past)
• Pediatric First, PC

  • Pediatrics Physician
  • Warner Robins, GA
  • NPI 1407894165
  NPD (past)

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1083107502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BRANDYWINE RD STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415540",
            "telephone_number": "404-256-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 3A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018640",
            "telephone_number": "404-256-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-9060",
            "fax_number": "478-633-9069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Pine St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31201",
            "country_code": "US",
            "telephone_number": "478-633-9060",
            "fax_number": "478-633-9069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1049 N Houston Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310931505",
            "country_code": "US",
            "telephone_number": "478-922-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYES",
        "first_name": "KELSEY",
        "middle_name": "MILLER",
        "name_prefix": "Miss",
        "credential": "CPNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN051783939",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "GA",
            "license": "RN235412",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN235412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kelseytm",
            "affiliation": "N",
            "address_1": "1049 N Houston Rd",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310931505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibley@choa.gadirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sibley",
            "affiliationName": "Children's Healthcare of Atlanta",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "1062 Forsyth St Ste 3A",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312018640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Myrick Durr, NP-C
• Cheyanne Durrett, PA-C
• Stephen Michael Durso, MD
• Raj Shekhar Dwivedi
• Jonathan Alexander Dyas, DO
• Heather Miranda Dykes, NP-C
• Lauren Mathews Dykes, NP-C
• Megan White Dykes
• Patrick Steven Dziedzic, PT
• Jack R Eades, MD

• Pediatric Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.