Active NPI
Angela Kaye Llewellyn, NP, FNP-C
- Family Nurse Practitioner
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP004402
- Practice address
- 1109 Burleyson Rd Ste 104
Dalton, GA 30720-3094 - Phone
- (706) 281-8490
- Fax
- (706) 529-8487
- NPI assigned
- Aug 16, 2018
- Last updated
- Aug 21, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GAA-NP004402 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 24474 | TN | |
| Family Medicine Physician | 207Q00000X | APN24474 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 24474 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | GAA-NP004402 | GA |
Addresses
Primary practice location
1109 Burleyson Rd Ste 104
Dalton, GA 30720-3094
Mailing address
1109 Burleyson Rd Ste 104
Dalton, GA 30720-3094
Phone (706) 281-8490
Other practice location 1
1875 Fant Dr
Ft Oglethorpe, GA 30742-3307
Phone (706) 861-3387
Other practice location 2
465 Winn Way Ste 130
Decatur, GA 30030-1722
Phone (832) 869-4818
Other practice location 3
325 Cherokee Blvd Ste 102
Chattanooga, TN 37405-4476
Phone (832) 869-4818
Other names 1
- Mrs. Angela Kaye Richardson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Coastal Village Dr
Brunswick, GA 31520-1973
Phone (912) 554-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN24474 | TN | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Behavioral Health Services | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Erlanger Behavioral Health, LLC | Current | Accepting new patients | |
| State of Tennessee State F & a Payroll | Current | Accepting new patients | |
| State of Tennessee | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | Accepting new patients | |
| State of Tennessee | Current | Accepting new patients | |
| Gateway Community Service Board | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | Accepting new patients |
Locations
600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111
700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400
1109 Burleyson Rd
Ste 104
Dalton, GA 30720
Phone (706) 278-5961
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434
110 Hedekin Cir
Ft Oglethorpe, GA 30742
Phone (706) 866-5945
1875 Fant Dr
Ft Oglethorpe, GA 30742
Phone (706) 861-3387
1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023
124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023
501 Mize St
La Fayette, GA 30728
Phone (706) 638-5591
100 Moccasin Bend Rd
Chattanooga, TN 37405
Phone (423) 785-3321
804 N Holtzclaw Ave
Chattanooga, TN 37404
Phone (423) 463-4408
Organizations & group practices 12
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.
-
- Community/Behavioral Health Agency
- Brunswick, GA
- NPI 1558478214
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
- Community/Behavioral Health Agency
- La Fayette, GA
- NPI 1790782431
-
dba Erlanger Behavioral Health
- Psychiatric Hospital
- Chattanooga, TN
- NPI 1306354790
-
dba Marion County Health Department
- Public Health or Welfare Agency
- Jasper, TN
- NPI 1487791315
-
dba Psychplus Associates
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
TN
-
- Mental Illness Community Based Residential Treatment Facility
- Brunswick, GA
- NPI 1124254321
-
- Community/Behavioral Health Agency
- La Fayette, GA
- NPI 1386716124
-
- Community/Behavioral Health Agency
- Fort Oglethorpe, GA
- NPI 1568599090
-
dba Robertson County Health Department
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
-
dba Moccasin Bend Mental Health Institute
- Psychiatric Hospital Unit
- Chattanooga, TN
- NPI 1306818265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1154801454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 BURLEYSON RD STE 104",
"city": "DALTON",
"state": "GA",
"postal_code": "307203094",
"telephone_number": "706-281-8490",
"fax_number": "706-529-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 BURLEYSON RD STE 104",
"city": "DALTON",
"state": "GA",
"postal_code": "307203094",
"telephone_number": "706-281-8490",
"fax_number": "706-529-8487"
}
],
"practiceLocations": [
{
"address_1": "1875 Fant Dr",
"address_purpose": "LOCATION",
"city": "Ft Oglethorpe",
"state": "GA",
"postal_code": "307423307",
"country_code": "US",
"telephone_number": "706-861-3387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "465 Winn Way Ste 130",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300301722",
"country_code": "US",
"telephone_number": "832-869-4818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 Cherokee Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374054476",
"country_code": "US",
"telephone_number": "832-869-4818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LLEWELLYN",
"first_name": "ANGELA",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "NP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP004402",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24474",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "APN24474",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "24474",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "GAA-NP004402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "RICHARDSON",
"middle_name": "KAYE",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.