Active NPI
Kelly Marie McDowell
- Family Nurse Practitioner
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN154424
- Practice address
- 1227 Persimmon Way
McDonough, GA 30252-8438 - Phone
- (678) 315-5766
- NPI assigned
- Oct 29, 2012
- Last updated
- Nov 18, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN154424 | GA | Primary |
Addresses
Primary practice location
1227 Persimmon Way
McDonough, GA 30252-8438
Mailing address
3390 Peachtree Nerd 1500
Atlanta, GA 30326-2822
Phone (404) 403-8310
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 74.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| The Interventional Spine and Pain Management Center PC | Current | Accepting new patients | |
| The Interventional Spine and Pain Management Center, PC | Current | Accepting new patients | |
| CPM Labs, LLC | Current | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985
Interoperability endpoints
- kelly.mcdowell@ispm.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
dba Alliance Spine and Pain Centers
- Interventional Pain Medicine Physician
- Conyers, GA
- NPI 1518012004
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Clinical Medical Laboratory
- Roswell, GA
- NPI 1689945800
-
dba Alliance Spine and Pain Centers
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1447963608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1174877195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 PEACHTREE NERD 1500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303262822",
"telephone_number": "404-403-8310",
"fax_number": "404-920-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 PERSIMMON WAY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302528438",
"telephone_number": "678-315-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN154424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.