Individual provider Active NPI

Kelli Marie Knauer, NP

  • Pediatric Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1124687348
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN250344 Issued in GA
Practice address
116 S Houston Rd
Warner Robins, GA 31088-3904
Phone
(478) 923-0131
Fax
(478) 922-6530
NPI assigned
Jun 11, 2019
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN250344 GA Primary

Addresses

Primary practice location

116 S Houston Rd
Warner Robins, GA 31088-3904

Mailing address

PO Box 8818
Warner Robins, GA 31095-8818
Phone (478) 923-0131

Other practice location 1

1275 S Houston Lake Rd Ste 1&2
Warner Robins, GA 31088-0746
Phone (478) 987-1100

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN250344GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Medical Assoc., LLC Past Accepting new patients
Pediatric First, PC Past Accepting new patients
Pediatric Care After Hours Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1124687348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8818",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958818",
            "telephone_number": "478-923-0131",
            "fax_number": "478-922-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883904",
            "telephone_number": "478-923-0131",
            "fax_number": "478-922-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 S Houston Lake Rd Ste 1&2",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310880746",
            "country_code": "US",
            "telephone_number": "478-987-1100",
            "fax_number": "478-922-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAUER",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN250344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.